Organization Active NPI

Jensen C Sun DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1073981262
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31868 Issued in CA
Legal business name
JENSEN C SUN DDS INC
Practice address
1300 Meridian Ave
San Jose, CA 95125-5211
Phone
(408) 264-9203
Fax
(408) 264-4676
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Jensen C Sun, DDS
Title
Owner
Phone
(408) 264-9203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31868 CA Primary

Addresses

Primary practice location

1300 Meridian Ave
San Jose, CA 95125-5211

Mailing address

1300 Meridian Ave
San Jose, CA 95125-5211
Phone (408) 264-9203

National Provider Directory

National Provider Directory

Locations

1300 Meridian Ave
San Jose, CA 95125
Phone (408) 264-9203

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1073981262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255211",
            "telephone_number": "408-264-9203",
            "fax_number": "408-264-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255211",
            "telephone_number": "408-264-9203",
            "fax_number": "408-264-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN C SUN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-264-9203",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31868",
            "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 Sep 4, 2015; 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.