Organization Active NPI

Hubert J Granizo, DDS, a Professional Corporation

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1982827747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38534 Issued in CA
Legal business name
HUBERT J GRANIZO, DDS, A PROFESSIONAL CORPORATION
Practice address
379 N Capitol Ave
San Jose, CA 95133-1906
Phone
(408) 937-9555
Fax
(408) 937-9558
NPI assigned
Apr 10, 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. Hubert J Granizo, DDSNPI 1174827521
Title
Owner Dentist
Phone
(408) 937-9555

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 38534 CA Primary

Addresses

Primary practice location

379 N Capitol Ave
San Jose, CA 95133-1906

Mailing address

379 N Capitol Ave
San Jose, CA 95133-1906
Phone (408) 937-9555

National Provider Directory

National Provider Directory

Locations

379 N Capitol Ave
San Jose, CA 95133
Phone (408) 937-9555

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982827747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 N CAPITOL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331906",
            "telephone_number": "408-937-9555",
            "fax_number": "408-937-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 N CAPITOL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331906",
            "telephone_number": "408-937-9555",
            "fax_number": "408-937-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBERT J GRANIZO, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANIZO",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-937-9555",
        "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": "38534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, 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.