Imelda P Nagtalon DDS., Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49154 Issued in CA

Legal business name

IMELDA P NAGTALON DDS., CORP.

Practice address

1175 E Julian St Ste 4
San Jose, CA 95116-1091

Phone

(408) 993-8491

Fax

(408) 899-2070

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Imelda P Nagtalon, DDSNPI 1730238239

Title

Owner

Phone

(408) 993-8491

Specialties & licenses 2

Addresses

Other names 1

• Family Dental Care Doing business as

Locations

Practitioners 2

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

• Imelda Pintado Nagtalon, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1730238239
  NPD Authorized official
• Jack Y Lin, D.D.S

  • Dentist
  • San Jose, CA
  • NPI 1992873640
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013437094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E JULIAN ST STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161091",
            "telephone_number": "408-993-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E JULIAN ST STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161091",
            "telephone_number": "408-993-8491",
            "fax_number": "408-899-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA P NAGTALON DDS., CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGTALON",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-993-8491",
        "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": "49154",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Sau Lin Imada
• Kent Imai, MD
• Nichole E Imamura-Sperling, LCSW
• Cecilia K Imamura, O.D.
• Keiko Marianne Imazumi-Tang, PT, MSPT, DPT
• Eric Michael Masao Imoto, D.O.
• Stephen Tasker Imrie, MD
• In Balance Healing Center
• In Focus Optometry, Inc
• In Focus Optometry, Inc

• 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 21, 2022; 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.