Cupertino Cosmetic & Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36829 Issued in CA

Legal business name

CUPERTINO COSMETIC & FAMILY DENTISTRY

Practice address

10413 Torre Ave
Suite 600
Cupertino, CA 95014-3239

Phone

(408) 865-1777

Fax

(408) 865-1779

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Khalil S Saghezchi, DDS

Title

Owner

Phone

(408) 865-1777

Specialties & licenses 1

Addresses

Other names 1

• Dr. Khalil Saghezchi Other name

Locations

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1932579786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 TORRE AVE",
            "address_2": "SUITE 600",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143239",
            "telephone_number": "408-865-1777",
            "fax_number": "408-865-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 TORRE AVE",
            "address_2": "SUITE 600",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143239",
            "telephone_number": "408-865-1777",
            "fax_number": "408-865-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUPERTINO COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SAGHEZCHI",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-865-1777",
        "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": "36829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Khalil Saghezchi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, 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 5, 2015; 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.