Active NPI
Blossom Dental Excellence, Inc
- Dentist
- San Jose, CA
National Provider Identifier
1093936957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46802
- Legal business name
- BLOSSOM DENTAL EXCELLENCE, INC
- Practice address
- 6134 Camino Verde Dr
Suite E
San Jose, CA 95119-1431 - Phone
- (408) 227-4010
- Fax
- (408) 227-4011
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaswinder Ghuman, D.D.S.
- Title
- President
- Phone
- (408) 227-4010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46802 | CA | Primary |
Addresses
Primary practice location
6134 Camino Verde Dr
Suite E
San Jose, CA 95119-1431
Mailing address
6134 Camino Verde Dr
Suite E
San Jose, CA 95119-1431
Phone (408) 227-4010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336159383 | Other | CA | TYPE 1 - NPI NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Blossom Dental Excellence Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1144628066
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Jose, CA
- NPI 1336159383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186963200000",
"number": "1093936957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6134 CAMINO VERDE DR",
"address_2": "SUITE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191431",
"telephone_number": "408-227-4010",
"fax_number": "408-227-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6134 CAMINO VERDE DR",
"address_2": "SUITE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191431",
"telephone_number": "408-227-4010",
"fax_number": "408-227-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM DENTAL EXCELLENCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2007-08-13",
"status": "A",
"authorized_official_last_name": "GHUMAN",
"authorized_official_first_name": "JASWINDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-227-4010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "46802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 - NPI NUMBER",
"identifier": "1336159383",
"state": "CA"
}
],
"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 Aug 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.