NPIMap

Organization Active NPI

Kaz Uyesugi DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1003296443
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33866 Issued in CA
Legal business name
KAZ UYESUGI DDS INC
Practice address
974 Willow St
San Jose, CA 95125-2344
Phone
(408) 279-4337
Fax
(408) 279-4555
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Kazuya Uyesugi, DDSNPI 1255438354
Title
Owner
Phone
(408) 279-4337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33866 CA Primary

Addresses

Primary practice location

974 Willow St
San Jose, CA 95125-2344

Mailing address

974 Willow St
San Jose, CA 95125-2344
Phone (408) 279-4337

National Provider Directory

National Provider Directory

Locations

974 Willow St
San Jose, CA 95125
Phone (408) 279-4337

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1003296443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252344",
            "telephone_number": "408-279-4337",
            "fax_number": "408-279-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252344",
            "telephone_number": "408-279-4337",
            "fax_number": "408-279-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZ UYESUGI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "UYESUGI",
        "authorized_official_first_name": "KAZUYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-279-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.