Organization Active NPI

Prasit Aranyarachkul, DDS, Inc

  • Periodontics
  • San Jose, CA
National Provider Identifier
1518331123
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
56274 Issued in CA
Legal business name
PRASIT ARANYARACHKUL, DDS, INC
Practice address
3996 S Bascom Ave Ste 6
San Jose, CA 95124-2663
Phone
(408) 377-6286
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Prasit Aranyarachkul, DDS
Title
Director
Phone
(408) 306-8759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 56274 CA Primary

Addresses

Primary practice location

3996 S Bascom Ave Ste 6
San Jose, CA 95124-2663

Mailing address

3996 S Bascom Ave Ste 6
San Jose, CA 95124-2663
Phone (408) 377-6286

National Provider Directory

National Provider Directory

Locations

3996 S Bascom Ave
#6
San Jose, CA 95124
Phone (408) 377-6286

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1518331123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 S BASCOM AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 S BASCOM AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASIT ARANYARACHKUL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ARANYARACHKUL",
        "authorized_official_first_name": "PRASIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-306-8759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56274",
            "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 Nov 19, 2015; 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.