Active NPI
John Stephen Cupples, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1275536187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22793
- Practice address
- 1660 Willow St
#6
San Jose, CA 95125-5101 - Phone
- (408) 264-8515
- Fax
- (408) 264-0250
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 22793 | CA | Primary |
Addresses
Primary practice location
1660 Willow St
#6
San Jose, CA 95125-5101
Mailing address
1660 Willow St
#6
San Jose, CA 95125-5101
Phone (408) 264-8515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22793 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1275536187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 WILLOW ST",
"address_2": "#6",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255101",
"telephone_number": "408-264-8515",
"fax_number": "408-264-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 WILLOW ST",
"address_2": "#6",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255101",
"telephone_number": "408-264-8515",
"fax_number": "408-264-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPPLES",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
- Brandon Scott Cunningham, MHRS
- Erika Cunningham
- Tracy Nicole Cunningham
- Cupertino Physical Therapy, Inc
- Cupid Medical of California P.C.
- Jayson Curammeng, RRT, SDS
- Cure Pharmacy Inc (Jackson Medical Pharmacy)
- Cure Pharmacy, Inc (Jackson medical pharmacy)
- Cureall Pharmacy Corp
- Cureall Pharmacy Corp (Cureall Pharmacy Corp LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.