Active NPI
Scott Dinh, O.D.
- Optometrist
- San Jose, CA
National Provider Identifier
1487658100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10883T
- Practice address
- 2349 Shade Tree LN
San Jose, CA 95131-1954 - Phone
- (408) 945-9277
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10883T | CA | Primary |
Addresses
Primary practice location
2349 Shade Tree LN
San Jose, CA 95131-1954
Mailing address
2349 Shade Tree LN
San Jose, CA 95131-1954
Phone (408) 945-9277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0108830 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10883T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1487658100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 SHADE TREE LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311954",
"telephone_number": "408-945-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 SHADE TREE LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311954",
"telephone_number": "408-945-9277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10883T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0108830",
"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 Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.