Victor Enriquez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D48805 Issued in CA

Practice address

21500 Bertram Rd
San Jose, CA 95120-4324

Phone

(408) 323-3010

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bui & Enriquez Dental Corporation

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1861609026
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417975160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 BERTRAM RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204324",
            "telephone_number": "408-323-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 BERTRAM RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204324",
            "telephone_number": "408-323-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D48805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Enoch, PH.D.
• Solomon Enow
• Cheyenne Tualla Enriquez
• Rae Enriquez, CCC-SLP
• Richard Enriquez
• Ashley Eoff
• Concilia Adamma Ephraim
• Epic Physical Therapy and Wellness PC
• Sasha Cremelle Eposito San Roman, MFT
• Hayley M Equite

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.