Active NPI
Thomas Dung Song Cao DDS Inc
- Dentist
- San Jose, CA
National Provider Identifier
1386856458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46459
- Legal business name
- THOMAS DUNG SONG CAO DDS INC
- Practice address
- 3072 Landess Ave
San Jose, CA 95132 - Phone
- (408) 719-1111
- Fax
- (408) 719-0511
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Dung Song Cao, DDS
- Title
- Dentist
- Phone
- (408) 719-1111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46459 | CA | Primary |
Addresses
Primary practice location
3072 Landess Ave
San Jose, CA 95132
Mailing address
3072 Landess Ave
San Jose, CA 95132
Phone (408) 719-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9402501 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Thomas Dung Song Cao DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- San Jose, CA
- NPI 1861614364
Locations
3072 Landess Ave
San Jose, CA 95132
Phone (408) 719-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Jose, CA
- NPI 1679680433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386856458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3072 LANDESS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-719-1111",
"fax_number": "408-719-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3072 LANDESS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-719-1111",
"fax_number": "408-719-0511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS DUNG SONG CAO DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAO",
"authorized_official_first_name": "THOMAS DUNG",
"authorized_official_middle_name": "SONG",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "408-719-1111",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "46459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9402501",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.