Elaine L. Van, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42621 Issued in CA

Legal business name

ELAINE L. VAN, DDS

Practice address

17020 Condit Rd
#180
Morgan Hill, CA 95037-7229

Phone

(408) 778-4548

Fax

(408) 778-4648

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Elaine L Van, DDS

Title

Owner

Phone

(408) 778-4548

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Elaine L Van DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kiet Nguyen DMD Dental Professional Corporation

  • Dentist
  • San Jose, CA
  • NPI 1710382361
  NPD tax ID

Locations

Practitioners 1

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

• Kiet Anh Nguyen, DMD

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1508916487
  NPD

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1316342694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 CONDIT RD",
            "address_2": "#180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377229",
            "telephone_number": "408-778-4548",
            "fax_number": "408-778-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 CONDIT RD",
            "address_2": "#180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377229",
            "telephone_number": "408-778-4548",
            "fax_number": "408-778-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE L. VAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-778-4548",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1497801336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Omron, M.D., Inc.
• Terry Edwards, MFT
• Kingsley C Egbujor
• Jaime Marie Eke, BCBA
• Maria Ekedal, CCC-SLP
• Eli Chen, M.D., Inc.
• David Toh Elley
• Sarah Ellingson, CMT
• Emerging Vision
• Maxine Endsley

• Dentist in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.