OrganizationActive
Children'S Dental Initiative
NPI 1790900215 · Dental Clinic/Center · San Jose, CA
Children'S Dental Initiative is a Dental Clinic/Center organization in San Jose, CA (NPI 1790900215).
Provider details
- NPI number
- 1790900215
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ira Holtzman, Chief Financial Officer(408) 961-9869
- License
- G91493-01 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
645 Wool Creek Dr
San Jose, CA 95112-2617
Phone: (408) 961-9869
Street-level locationGet directions
Mailing address
2085 Hamilton Ave
San Jose, CA 95125-6117
Other names (DBA / former)
- Other name
- The Health Trust
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Children'S Dental Initiative's NPI number?
- Children'S Dental Initiative's National Provider Identifier (NPI) is 1790900215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Children'S Dental Initiative?
- Children'S Dental Initiative is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Children'S Dental Initiative located?
- Children'S Dental Initiative's practice location on file with NPPES is 645 Wool Creek Dr, San Jose, CA 95112-2617.
- What is Children'S Dental Initiative's phone number?
- The practice phone number listed in the NPPES registry for Children'S Dental Initiative is (408) 961-9869.
- Who is the authorized official for Children'S Dental Initiative?
- The authorized official listed on Children'S Dental Initiative's NPPES record is Ira Holtzman, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Children'S Dental Initiative's NPI active?
- Yes — Children'S Dental Initiative's NPI (1790900215) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.