Active NPI
Philip Hau, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1124274295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57453
- Practice address
- 888 Saratoga Ave
Suite 100
San Jose, CA 95129-2639 - Phone
- (408) 246-8686
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57453 | CA | Primary |
Addresses
Primary practice location
888 Saratoga Ave
Suite 100
San Jose, CA 95129-2639
Mailing address
25621 Burke LN
Los Altos Hills, CA 94022-3409
Phone (650) 949-1164
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57453 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1124274295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25621 BURKE LN",
"city": "LOS ALTOS HILLS",
"state": "CA",
"postal_code": "940223409",
"telephone_number": "650-949-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SARATOGA AVE",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292639",
"telephone_number": "408-246-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAU",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57453",
"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 Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.