THE HEALTH TRUST
NPI 1790900215
Clinic/Center - Dental in San Jose, CA

Active since April 17, 2007
645 WOOL CREEK DR, SAN JOSE, CA 95112(408) 961-9869 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Health Trust NPPES

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

THE HEALTH TRUST (NPI 1790900215) is a healthcare organization registered as a dental in San Jose, California and active in the NPI registry since April 2007. The organization lists Ira Holtzman, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1790900215
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHILDREN'S DENTAL INITIATIVE
Location Address645 WOOL CREEK DRSan Jose, CA 95112-2617
Mailing Address2085 Hamilton Ave, Ste. 150San Jose, CA 95125-6117 · (408) 961-9869
Organization SubpartNo
Authorized OfficialIra HoltzmanChief Financial Officer · (408) 961-9869
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1790900215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in CA · G91493-01
645 WOOL CREEK DR, San Jose, CA 95112

Other Names 1

Other NameThe Health Trust

Other Identifiers 1

MedicaidG91493-01CA

Other Providers at the Same Location NPPES 20

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

Social Worker
645 WOOL CREEK DR
SAN JOSE, CA 95112
Social Worker (Clinical)
645 WOOL CREEK DR
SAN JOSE, CA 95112
Occupational Therapist
645 WOOL CREEK DR, SUITE 97
SAN JOSE, CA 95112
Clinic/Center (Federally Qualified Health Center (FQHC))
645 WOOL CREEK DR
SAN JOSE, CA 95112
Counselor (Mental Health)
645 WOOL CREEK DR, STE. 97
SAN JOSE, CA 95112
Clinic/Center (Federally Qualified Health Center (FQHC))
645 WOOL CREEK DR
SAN JOSE, CA 95112
Psychologist (Counseling)
645 WOOL CREEK DR
SAN JOSE, CA 95112
Physician Assistant
645 WOOL CREEK DR
SAN JOSE, CA 95112

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 Children's Dental Initiative's NPI number?

The NPI number for Children's Dental Initiative is 1790900215. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is also known as The Health Trust.

Where is Children's Dental Initiative located?

Children's Dental Initiative is located at 645 Wool Creek Dr, San Jose, CA 95112. The listed phone number is (408) 961-9869.

What is Children's Dental Initiative's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Children's Dental Initiative was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.