California Integrated Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALIFORNIA INTEGRATED DENTISTRY

Practice address

2066 N Capitol Ave # 1169
San Jose, CA 95132-1015

Phone

(254) 550-3280

NPI assigned

Dec 12, 2021

Last updated

Dec 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiyoshi Thompson, MRS

Title

Hod

Phone

(254) 550-3280

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1023777539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 N CAPITOL AVE # 1169",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321015",
            "telephone_number": "254-550-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 N CAPITOL AVE # 1169",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321015",
            "telephone_number": "254-550-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INTEGRATED DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIYOSHI",
        "authorized_official_title_or_position": "HOD",
        "authorized_official_telephone_number": "254-550-3280",
        "authorized_official_credential": "MRS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "californiaintegrateddentistry@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secured storage",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2066 N Capitol Ave # 1169",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951321015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• California Emergency Physicians Medical Group a Professional Corp
• California Emergency Physicians Medical Group, a Professional Corp
• California Endurance & Sports Physical Therapy
• California Guardians (Homewatch Caregivers of West San Jose)
• California Home Doc
• California Ipa Inc
• California Mental Health LLC
• California Neuroinstitute Inc
• California Spine and Neurosurgery Institute (San Jose Neurospine)
• John Carlo T Caliva

• 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 Dec 12, 2021; 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.