Organization Active NPI

Al R Abad Dental Corporation

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1023314325
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B39588 Issued in CA
Legal business name
AL R ABAD DENTAL CORPORATION
Practice address
2664 Berryessa Road
Suite 212
San Jose, CA 95132
Phone
(408) 272-3809
Fax
(408) 272-3811
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Mrs. Cynthia Abad, DDS
Title
Manager
Phone
(408) 272-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X B39588 CA Primary

Addresses

Primary practice location

2664 Berryessa Road
Suite 212
San Jose, CA 95132

Mailing address

2664 Berryessa Road
Suite 212
San Jose, CA 95131
Phone (408) 272-3809

National Provider Directory

National Provider Directory

Locations

2664 Berryessa Rd
Ste 212
San Jose, CA 95132
Phone (408) 272-3809

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": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1023314325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA ROAD",
            "address_2": "SUITE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95131",
            "telephone_number": "408-272-3809",
            "fax_number": "408-272-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA ROAD",
            "address_2": "SUITE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95132",
            "telephone_number": "408-272-3809",
            "fax_number": "408-272-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL R ABAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-272-3809",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B39588",
            "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 Feb 3, 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.

Verify at the official NPI Registry.