Hilado Sunnyvale Dental Group, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53601 Issued in CA

Legal business name

HILADO SUNNYVALE DENTAL GROUP, INC.

Doing business as

Sunnyvale Dental Group

Practice address

990 W Fremont Ave
Suite L
Sunnyvale, CA 94087-3021

Phone

(408) 739-9050

Fax

(408) 739-8028

NPI assigned

Oct 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lynn Patrice Santos, R.D.H.

Title

Cfo,VP, Partner

Phone

(408) 593-5999

Specialties & licenses 2

Addresses

Other names 1

• Sunnyvale Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1801290416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE",
            "address_2": "SUITE L",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873021",
            "telephone_number": "408-739-9050",
            "fax_number": "408-739-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE",
            "address_2": "SUITE L",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873021",
            "telephone_number": "408-739-9050",
            "fax_number": "408-739-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILADO SUNNYVALE DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-11",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CFO,VP, PARTNER",
        "authorized_official_telephone_number": "408-593-5999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53601",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "13976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyvale Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noel Buenafe Hernandez, R.P.T.
• Selma Hernandez
• Ellen Hersam, LMFT
• Jeffery Elwood Hess, M.D., M.S.
• Danielle Nicole Heuseveldt, RD LDN CHWC
• Iris Emi Hillery, PHARM.D.
• Carolyn Hilton Kananen, LCSW
• Elizabeth Hindman, RDHAP
• Yesha Hingarajiya
• Ronald Hirose, DDS

• General Practice Dentistry in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.