Active NPI
Ernest Gordon Giachetti
- General Practice Dentistry
- Cupertino, CA
National Provider Identifier
1912386608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19500
- Practice address
- 20445 Pacifica Dr
Cupertino, CA 95014-3095 - Phone
- (408) 252-8395
- Fax
- (408) 252-8310
- NPI assigned
- May 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19500 | CA | Primary |
Addresses
Primary practice location
20445 Pacifica Dr
Cupertino, CA 95014-3095
Mailing address
20445 Pacifica Dr
Cupertino, CA 95014-3095
Phone (408) 252-8395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1912386608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20445 PACIFICA DR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143095",
"telephone_number": "408-252-8395",
"fax_number": "408-252-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20445 PACIFICA DR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143095",
"telephone_number": "408-252-8395",
"fax_number": "408-252-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIACHETTI",
"first_name": "ERNEST",
"middle_name": "GORDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "19500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.