Organization Active NPI

Myrna Grace S.Hilo, DMD, Inc

  • Dental Clinic/Center
  • Santa Clara, CA
National Provider Identifier
1972988848
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
B40610 Issued in CA
Legal business name
MYRNA GRACE S.HILO, DMD, INC
Practice address
4767 Lafayette St Ste 104
Santa Clara, CA 95054-1600
Phone
(408) 727-0722
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dr. Myrna Grace Serrano Hilo, D.D.S.
Title
General Dentist
Phone
(408) 727-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X B40610 CA Primary

Addresses

Primary practice location

4767 Lafayette St Ste 104
Santa Clara, CA 95054-1600

Mailing address

4767 Lafayette St Ste 104
Santa Clara, CA 95054-1600
Phone (408) 727-0722

National Provider Directory

National Provider Directory

Locations

4767 Lafayette St
Ste 104
Santa Clara, CA 95054
Phone (408) 727-0722

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1972988848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 LAFAYETTE ST STE 104",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541600",
            "telephone_number": "408-727-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 LAFAYETTE ST STE 104",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541600",
            "telephone_number": "408-727-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA GRACE S.HILO, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "HILO",
        "authorized_official_first_name": "MYRNA GRACE",
        "authorized_official_middle_name": "SERRANO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "408-727-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B40610",
            "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 Jul 21, 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.