Individual provider Active NPI

Zaidoon R. Owais, DDS, MS

  • Dentist
  • San Jose, CA
National Provider Identifier
1366655201
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55524 Issued in CA
Practice address
511 W. Capitol Expwy
San Jose, CA 95136
Phone
(408) 448-3888
Fax
(408) 448-3895
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55524 CA
General Practice Dentistry 1223G0001X D11812 MN
Dentist 122300000X 55524 CA Primary

Addresses

Primary practice location

511 W. Capitol Expwy
San Jose, CA 95136

Mailing address

511 W. Capitol Expwy
San Jose, CA 95136
Phone (408) 448-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D11812MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1366655201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W. CAPITOL EXPWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95136",
            "telephone_number": "408-448-3888",
            "fax_number": "408-448-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W. CAPITOL EXPWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95136",
            "telephone_number": "408-448-3888",
            "fax_number": "408-448-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWAIS",
        "first_name": "ZAIDOON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55524",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11812",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55524",
            "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 Nov 4, 2010; 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.