Organization Active NPI

Khai V. Dong, DDS, Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1215329685
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55120 Issued in CA
Legal business name
KHAI V. DONG, DDS, INC.
Practice address
2232 Alum Rock Ave
Suite 30
San Jose, CA 95116-2019
Phone
(408) 347-8880
Fax
(408) 347-8881
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Khai Dong
Title
President
Phone
(408) 347-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55120 CA Primary

Addresses

Primary practice location

2232 Alum Rock Ave
Suite 30
San Jose, CA 95116-2019

Mailing address

2232 Alum Rock Ave
Suite 30
San Jose, CA 95116-2019
Phone (408) 347-8880

Other names 1

  • Genie Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2232 Alum Rock Ave
Ste 30
San Jose, CA 95116
Phone (408) 347-8880

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1215329685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 ALUM ROCK AVE",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162019",
            "telephone_number": "408-347-8880",
            "fax_number": "408-347-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 ALUM ROCK AVE",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162019",
            "telephone_number": "408-347-8880",
            "fax_number": "408-347-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAI V. DONG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "KHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-347-8880"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genie Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2015; 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.