Organization Active NPI

Raymond H. Funada, D.D.S., Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1346349941
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37965 Issued in CA
Legal business name
RAYMOND H. FUNADA, D.D.S., INC.
Practice address
2000 Forest Ave
Suite C
San Jose, CA 95128-4831
Phone
(408) 287-5900
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Raymond FunadaNPI 1003919275
Title
Dentist
Phone
(408) 287-5900

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37965 CA Primary

Addresses

Primary practice location

2000 Forest Ave
Suite C
San Jose, CA 95128-4831

Mailing address

2000 Forest Ave
Suite C
San Jose, CA 95128-4831

Other identifiers 1

IdentifierTypeStateIssuer
609294OtherCAUNITED CONCORDIA PROV #

National Provider Directory

National Provider Directory

Locations

2000 Forest Ave
Ste C
San Jose, CA 95128
Phone (408) 287-5900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1346349941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOREST AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOREST AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284831",
            "telephone_number": "408-287-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND H. FUNADA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "FUNADA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-287-5900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV #",
            "identifier": "609294",
            "state": "CA"
        }
    ],
    "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 May 21, 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.