Organization Active NPI

Kothary Professional Dental Corporation Ez Dental

Doing business as Ez dental

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1386238848
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL
Doing business as
Ez dental
Practice address
5730 Cottle Rd Ste 240
San Jose, CA 95123-3764
Phone
(408) 227-6000
NPI assigned
Feb 25, 2021
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Sapana Kothary DDS, DDS
Title
Owner
Phone
(408) 656-9657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5730 Cottle Rd Ste 240
San Jose, CA 95123-3764

Mailing address

5730 Cottle Rd Ste 240
San Jose, CA 95123-3764
Phone (408) 227-6000

Other names 1

  • Ez dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ez Dental2 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.

Locations

5730 Cottle Rd
Ste 240
San Jose, CA 95123
Phone (408) 203-7494

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1386238848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 COTTLE RD STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233764",
            "telephone_number": "408-227-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 COTTLE RD STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233764",
            "telephone_number": "408-227-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KOTHARY DDS",
        "authorized_official_first_name": "SAPANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-656-9657",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ez dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 2023; 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.