Organization Active NPI

Dignity Dental Care Sr Corp

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1164161931
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIGNITY DENTAL CARE SR CORP
Practice address
3087 McKee Rd
San Jose, CA 95127-1835
Phone
(408) 509-5399
NPI assigned
May 31, 2022
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Dr. Carolina Rodriguez, DDSNPI 1134868904
Title
Ceo
Phone
(408) 509-5399

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3087 McKee Rd
San Jose, CA 95127-1835

Mailing address

808 Sinbad Ave
San Jose, CA 95116-3744
Phone (408) 509-5399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1164161931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SINBAD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163744",
            "telephone_number": "408-509-5399",
            "fax_number": "408-493-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271835",
            "telephone_number": "408-509-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY DENTAL CARE SR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-509-5399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Jan 25, 2023; 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.