Organization Active NPI

Shaelee T Nguyen King Dentistry

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1023021904
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44748 Issued in CA
Legal business name
SHAELEE T NGUYEN KING DENTISTRY
Practice address
1943 Tully Rd
San Jose, CA 95122-1801
Phone
(408) 258-5298
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Shaelee T Nguyen, D.D.S.NPI 1326446774
Title
Dentist
Phone
(408) 258-5298

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44748 CA Primary

Addresses

Primary practice location

1943 Tully Rd
San Jose, CA 95122-1801

Mailing address

1943 Tully Rd
San Jose, CA 95122-1801
Phone (408) 258-5298

National Provider Directory

National Provider Directory

Locations

1943 Tully Rd
San Jose, CA 95122
Phone (408) 258-5298

Practitioners & affiliated clinicians

Practitioners 1

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1023021904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221801",
            "telephone_number": "408-258-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221801",
            "telephone_number": "408-258-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAELEE T NGUYEN KING DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SHAELEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-258-5298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44748",
            "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 19, 2008; 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.