Active NPI
Jan C. Gabus, D.D.S.
- General Practice Dentistry
- Menlo Park, CA
National Provider Identifier
1962518597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22600
- Practice address
- 1300 University Dr Ste 5
Menlo Park, CA 94025-4254 - Phone
- (650) 325-7711
- Fax
- (650) 325-7715
- NPI assigned
- Aug 23, 2006
- 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 | 22600 | CA | Primary |
Addresses
Primary practice location
1300 University Dr Ste 5
Menlo Park, CA 94025-4254
Mailing address
1300 University Dr Ste 5
Menlo Park, CA 94025-4254
Phone (650) 325-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22600 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessie V. Vallee, DDS Inc. | General Practice | Past | Accepting new patients |
| Excellence Dental Group a Partnership of Dr.Hakim, Inc & Dr.Patel, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Menlo Park, CA
- NPI 1861051138
-
- General Practice Dentistry
- Menlo Park, CA
- NPI 1366957953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1962518597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 UNIVERSITY DR STE 5",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254254",
"telephone_number": "650-325-7711",
"fax_number": "650-325-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 UNIVERSITY DR STE 5",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254254",
"telephone_number": "650-325-7711",
"fax_number": "650-325-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABUS",
"first_name": "JAN",
"middle_name": "C.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.