Active NPI
Myrna Grace S.Hilo, DMD, Inc
- Dental Clinic/Center
- Santa Clara, CA
National Provider Identifier
1972988848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- B40610
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.