Organization Active NPI

Tracy Filler, DMD, Inc.

Doing business as ToothFillers Dental Practice of Tracy Filler, DMD, Inc.

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1528628146
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRACY FILLER, DMD, INC.
Doing business as
ToothFillers Dental Practice of Tracy Filler, DMD, Inc.
Practice address
1569 Lexann Ave
San Jose, CA 95121-1794
Phone
(408) 329-8922
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Dr. Tracy Dao Filler, DMD
Title
President
Phone
(408) 329-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1569 Lexann Ave
San Jose, CA 95121-1794

Mailing address

3809 De la Cruz Blvd
Santa Clara, CA 95054-2116
Phone (408) 329-8922

Other names 1

  • ToothFillers Dental Practice of Tracy Filler, DMD, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Toothfillers Dental Practice of Tracy Filler DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1528628146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 DE LA CRUZ BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542116",
            "telephone_number": "408-329-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-329-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY FILLER, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "FILLER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-329-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ToothFillers Dental Practice of Tracy Filler, DMD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2019; 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.