Individual provider Active NPI

Mark Dinh, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1003593336
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
113154 Issued in CA
Practice address
1725 Berryessa Rd Ste a
San Jose, CA 95133-1173
Phone
(408) 272-4943
NPI assigned
Jun 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 113154 CA Primary

Addresses

Primary practice location

1725 Berryessa Rd Ste a
San Jose, CA 95133-1173

Mailing address

9251 Ambassador Dr
Westminster, CA 92683-7416
Phone (714) 823-6137

Other practice location 1

8 W Swain Rd
Stockton, CA 95207-4344
Phone (209) 474-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1003593336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 AMBASSADOR DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837416",
            "telephone_number": "714-823-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BERRYESSA RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331173",
            "telephone_number": "408-272-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 W Swain Rd",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952074344",
            "country_code": "US",
            "telephone_number": "209-474-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113154",
            "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 Jul 31, 2026; 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.