Individual provider Active NPI

Olga J Dedia, DMD

  • Dentist
  • San Jose, CA
National Provider Identifier
1457591729
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58081 Issued in CA
Practice address
888 Saratoga Ave Ste 100
San Jose, CA 95129-2639
Phone
(408) 899-4820
Fax
(408) 899-4821
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58081 CA Primary

Addresses

Primary practice location

888 Saratoga Ave Ste 100
San Jose, CA 95129-2639

Mailing address

1623 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 783-2273

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

State licenses

LicenseStateTypeSpecialty
58081CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Kaplan DDS Dental Corp Past Accepting new patients
Kaplan Alexander Dental Corporation Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1457591729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613027",
            "telephone_number": "916-783-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SARATOGA AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292639",
            "telephone_number": "408-899-4820",
            "fax_number": "408-899-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDIA",
        "first_name": "OLGA",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58081",
            "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 Jan 23, 2018; 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.