Organization Active NPI

Keith M. Abe DDS Inc.

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1922211994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38242 Issued in CA
Legal business name
KEITH M. ABE DDS INC.
Practice address
485 South Dr
Mountain View, CA 94040-4202
Phone
(650) 961-4492
Fax
(650) 745-4144
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith M. Abe, DDSNPI 1427157247
Title
President
Phone
(650) 961-4492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38242 CA Primary

Addresses

Primary practice location

485 South Dr
Mountain View, CA 94040-4202

Mailing address

485 South Dr
Mountain View, CA 94040-4202
Phone (650) 961-4492

National Provider Directory

National Provider Directory

Locations

485 South Dr
Mountain View, CA 94040
Phone (650) 961-4492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922211994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 SOUTH DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404202",
            "telephone_number": "650-961-4492",
            "fax_number": "650-745-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 SOUTH DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404202",
            "telephone_number": "650-961-4492",
            "fax_number": "650-745-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M. ABE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-961-4492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, 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.

Verify at the official NPI Registry.