DR. IVETTE M SAN JUAN DDS
NPI 1477078665
Dentist - General Practice in Gilroy, CA

Q: What is Ivette San Juan's NPI number?

The NPI number for Ivette San Juan is 1477078665. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Q: What is Ivette San Juan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ivette San Juan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2017

1495 MANTELLI DR, GILROY, CA 95020(408) 500-2155 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

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About Dr. Ivette M San Juan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVETTE M SAN JUAN DDS (NPI 1477078665) is an individual general practice provider in Gilroy, California, licensed in California (101857) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1477078665

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. IVETTE M SAN JUANCredential: DDS

Location Address1495 MANTELLI DRGilroy, CA 95020-3772

Mailing Address1495 Mantelli DrGilroy, CA 95020-3772 · (408) 500-2155

Phone(408) 500-2155

Sole ProprietorNo

Enumeration DateAugust 8, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1477078665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 101857

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1495 MANTELLI DR, Gilroy, CA 95020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivette San Juan's NPI number?

The NPI number for Ivette San Juan is 1477078665. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Ivette San Juan located?

Ivette San Juan practices at 1495 Mantelli Dr, Gilroy, CA 95020. The listed phone number is (408) 500-2155.

What is Ivette San Juan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ivette San Juan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Ivette San Juan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivette San Juan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.