Pries Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53853 Issued in CA

Legal business name

PRIES DENTAL CARE

Practice address

4110 Moorpark Ave
Suite C
San Jose, CA 95117-1712

Phone

(408) 260-0200

Fax

(408) 625-4725

NPI assigned

Mar 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kostantions Pries, DDS

Title

Owner

Phone

(408) 260-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kostantinos Pries, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1215067269
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1003278995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MOORPARK AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171712",
            "telephone_number": "408-260-0200",
            "fax_number": "408-625-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 MOORPARK AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171712",
            "telephone_number": "408-260-0200",
            "fax_number": "408-625-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PRIES",
        "authorized_official_first_name": "KOSTANTIONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-260-0200",
        "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": "53853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla A Price
• Nanci R Price, DC
• Nickolas Scot Price
• Sherry HL Price
• Priday Dialysis LLC
• Kostantinos Pries, D.D.S.
• Julie Priest, N.P.
• Anna Priestley, MA
• Jorge Luis Prieto
• Primaire Medical System

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.