Active NPI
Rex Y Kido, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1063476307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33601
- Practice address
- 500 Tully Rd
Chaboya Dental Clinic
San Jose, CA 95111-1917 - Phone
- (408) 817-1463
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33601 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 33601 | CA |
Addresses
Primary practice location
500 Tully Rd
Chaboya Dental Clinic
San Jose, CA 95111-1917
Mailing address
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1063476307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TULLY RD",
"address_2": "CHABOYA DENTAL CLINIC",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111917",
"telephone_number": "408-817-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDO",
"first_name": "REX",
"middle_name": "Y",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "33601",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33601",
"primary": false
}
],
"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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.