Active NPI
Louis S. D'Agosta, DDS, Inc.
- General Practice Dentistry
- Santa Clara, CA
National Provider Identifier
1871622266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22794
- Legal business name
- LOUIS S. D'AGOSTA, DDS, INC.
- Practice address
- 255 Crestview Dr
Santa Clara, CA 95050-6503 - Phone
- (408) 248-7048
- Fax
- (408) 248-7049
- NPI assigned
- Mar 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Salvatore D'Agosta, DDS
- Title
- Dentist
- Phone
- (408) 248-7048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22794 | CA | Primary |
Addresses
Primary practice location
255 Crestview Dr
Santa Clara, CA 95050-6503
Mailing address
255 Crestview Dr
Santa Clara, CA 95050-6503
Phone (408) 248-7048
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871622266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 CRESTVIEW DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506503",
"telephone_number": "408-248-7048",
"fax_number": "408-248-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 CRESTVIEW DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506503",
"telephone_number": "408-248-7048",
"fax_number": "408-248-7049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS S. D'AGOSTA, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "D'AGOSTA",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "SALVATORE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "408-248-7048",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.