Individual provider Active NPI

Catherine Ariel Canda

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1083090005
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64891 Issued in CA
Practice address
792 Meridian Way
San Jose, CA 95126-3879
Phone
(408) 264-1234
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64891 CA Primary

Addresses

Primary practice location

792 Meridian Way
San Jose, CA 95126-3879

Mailing address

792 Meridian Way
San Jose, CA 95126-3879

Other names 1

  • Ariel Canda Other name

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1083090005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 MERIDIAN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 MERIDIAN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263879",
            "telephone_number": "408-264-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDA",
        "first_name": "CATHERINE ARIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "CANDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 31, 2024; 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.