PEDIATRIC DENTISTRY OF LOS ALTOS
NPI 1679797930
Dentist - Orthodontics and Dentofacial Orthopedics in Los Altos, CA

Active since April 11, 2007
731 ALTOS OAKS DR, LOS ALTOS, CA 94024(650) 948-6884(650) 948-7244 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Dentistry Of Los Altos NPPES

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

PEDIATRIC DENTISTRY OF LOS ALTOS (NPI 1679797930) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Los Altos, California and active in the NPI registry since April 2007. The organization lists James Kelly, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679797930
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePEDIATRIC DENTISTRY OF LOS ALTOS
Location Address731 ALTOS OAKS DRLos Altos, CA 94024-5402
Mailing Address731 Altos Oaks DrLos Altos, CA 94024-5402 · (650) 948-6884 · Fax (650) 948-7244
Fax(650) 948-7244
Organization SubpartNo
Authorized OfficialJames KellyDentist · (650) 948-6884
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1679797930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 21718
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 30395 (CA), 38101 (CA)
731 ALTOS OAKS DR, Los Altos, CA 94024

Other Names 1

Doing Business AsPediatric Dentistry Of Los Altos

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
731 ALTOS OAKS DR
LOS ALTOS, CA 94024
Dentist (Pediatric Dentistry)
731 ALTOS OAKS DR
LOS ALTOS, CA 94024

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 Pediatric Dentistry Of Los Altos's NPI number?

The NPI number for Pediatric Dentistry Of Los Altos is 1679797930. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Pediatric Dentistry Of Los Altos located?

Pediatric Dentistry Of Los Altos is located at 731 Altos Oaks Dr, Los Altos, CA 94024. The listed phone number is (650) 948-6884.

What is Pediatric Dentistry Of Los Altos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Los Altos was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.