Organization Active NPI

Jay K. Baldwin D.D.S., Inc.

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1053557207
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
52826 Issued in CA
Legal business name
JAY K. BALDWIN D.D.S., INC.
Practice address
5758 Santa Teresa Blvd
San Jose, CA 95123-4540
Phone
(408) 227-0910
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Jason Tyler Baldwin, D.D.S.NPI 1144343757
Title
Treasurer
Phone
(408) 227-0910

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
Dental Clinic/Center 261QD0000X 52826 CA Primary

Addresses

Primary practice location

5758 Santa Teresa Blvd
San Jose, CA 95123-4540

Mailing address

5758 Santa Teresa Blvd
San Jose, CA 95123-4540
Phone (408) 227-0910

National Provider Directory

National Provider Directory

Locations

5758 Santa Teresa Blvd
San Jose, CA 95123
Phone (408) 227-0910

Practitioners & affiliated clinicians

Practitioners 2

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1053557207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 SANTA TERESA BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234540",
            "telephone_number": "408-227-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 SANTA TERESA BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234540",
            "telephone_number": "408-227-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY K. BALDWIN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "408-227-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52826",
            "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 Dec 17, 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.