Active NPI
Daisy Ison, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1518033737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34120
- Practice address
- 2340 McKee Rd
Suite # 22
San Jose, CA 95116-1615 - Phone
- (408) 272-8855
- Fax
- (408) 272-8858
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34120 | CA | Primary |
Addresses
Primary practice location
2340 McKee Rd
Suite # 22
San Jose, CA 95116-1615
Mailing address
2340 McKee Rd
Suite # 22
San Jose, CA 95116-1615
Phone (408) 272-8855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| METLIFE | Other | CA | PRIVATE INS |
| DELTA DENTAL | Other | CA | PRIVATE INS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34120 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daisy G. Ison, D.M.D., Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1144370214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1518033737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 MCKEE RD",
"address_2": "SUITE # 22",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161615",
"telephone_number": "408-272-8855",
"fax_number": "408-272-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 MCKEE RD",
"address_2": "SUITE # 22",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161615",
"telephone_number": "408-272-8855",
"fax_number": "408-272-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISON",
"first_name": "DAISY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INS",
"identifier": "METLIFE",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INS",
"identifier": "DELTA DENTAL",
"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 Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.