T C Mody DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

T C MODY DDS, INC

Doing business as

Tiffany Chan, DDS

Practice address

920 N Bascom Ave
San Jose, CA 95128-1400

Phone

(408) 248-4426

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Chan Mody, DDS

Title

President

Phone

(408) 248-4426

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Chan, DDS Doing business as

Locations

Practitioners 2

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

• Tiffany Chan, DDS

  • Dentist
  • San Jose, CA
  • NPI 1558601583
  NPD
• Reolina Sidharta Muskat, DDS

  • Dentist
  • Santa Clara, CA
  • NPI 1417029091
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1376193862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281400",
            "telephone_number": "408-248-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281400",
            "telephone_number": "408-248-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T C MODY DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MODY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-248-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Chan, DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiffany Chan, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hin Wah Sze
• Cyrus C.L. Szeto-Wong, M.D.
• Elsie Lee Szeto, RD
• SZM Dignity Homecare LLC
• SZM Dignity Transportation Services LLC
• T. Chow Cardiology and Electrophysiology Medical Office
• Aborn Vu Ta, MFT TRAINEE
• Diana U Ta
• Elisa Ta, PHARM.D.
• Hong Doan Ta

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.