Jimmy Cham DDS a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

37088 Issued in CA

Legal business name

JIMMY CHAM DDS A PROFESSIONAL CORPORATION

Practice address

2139 Tully Rd
San Jose, CA 95122-1346

Phone

(408) 259-5660

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Jimmy Cham, D.D.S.NPI 1164429916

Title

President

Phone

(408) 259-5660

Specialties & licenses 1

Addresses

Other names 1

• Jimmy Cham DDS A Professional Corporation Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Cham, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1164429916
  NPD (past) Authorized official
• Pek Chu, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1750430880
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1104027614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-259-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-259-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY CHAM DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "CHAM",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-259-5660",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jimmy cham DDS A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jimmy Cham DDS A Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Jimenez
• Raiza Jimenez, M.A., BCBA
• Stephanie Jimenez
• Tina Jimenez
• Zulema Jimenez, M.A. DEV. PSY
• Jin Y. Lee. MD. Inc.
• Alexander Henry Jin, MD
• Boying Jin
• Lin Jin, MD
• Shawn Shiyang Jin, MD

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.