Active NPI
Chic Dental Care
- Dentist
- San Jose, CA
National Provider Identifier
1023229747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47143
- Legal business name
- CHIC DENTAL CARE
- Practice address
- 5278 Monterey Hwy
Suite 10
San Jose, CA 95111-4268 - Phone
- (408) 362-9622
- Fax
- (408) 362-9633
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pauline Phuong Nguyen, DDS
- Title
- Owner
- Phone
- (408) 362-9622
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47143 | CA | Primary |
Addresses
Primary practice location
5278 Monterey Hwy
Suite 10
San Jose, CA 95111-4268
Mailing address
5278 Monterey Hwy
Suite 10
San Jose, CA 95111-4268
Phone (408) 362-9622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B47143-01 | Other | CA | HEALTHY FAMILY |
| G92526-01 | Other | CA | DENTI-CAL |
National Provider Directory
National Provider DirectoryLocations
5278 Monterey Hwy
Ste 10
San Jose, CA 95111
Phone (408) 362-9622
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Jose, CA
- NPI 1053319707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310083200000",
"number": "1023229747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5278 MONTEREY HWY",
"address_2": "SUITE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951114268",
"telephone_number": "408-362-9622",
"fax_number": "408-362-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5278 MONTEREY HWY",
"address_2": "SUITE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951114268",
"telephone_number": "408-362-9622",
"fax_number": "408-362-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIC DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2011-07-08",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "PAULINE",
"authorized_official_middle_name": "PHUONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-362-9622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "47143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILY",
"identifier": "B47143-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G92526-01",
"state": "CA"
}
],
"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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.