Active NPI
Children'S Dental Surgery Center - San Jose
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1528700820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CHILDREN'S DENTAL SURGERY CENTER - SAN JOSE
- Doing business as
- Children's Dental Surgery Center - San Jose
- Practice address
- 5595 Winfield Blvd Ste 201
San Jose, CA 95123-1220 - Phone
- (408) 785-1224
- Fax
- (408) 785-8817
- NPI assigned
- Apr 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Scott Adams, DDS
- Title
- Representative
- Phone
- (408) 785-1224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5595 Winfield Blvd Ste 201
San Jose, CA 95123-1220
Mailing address
5595 Winfield Blvd Ste 201
San Jose, CA 95123-1220
Phone (408) 785-1224
Other names 1
- Children's Dental Surgery Center - San Jose
National Provider Directory
National Provider DirectoryLocations
5595 Winfield Blvd
Ste 201
San Jose, CA 95123
Phone (408) 785-1224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1528700820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-785-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-785-1224",
"fax_number": "408-785-8817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S DENTAL SURGERY CENTER - SAN JOSE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "408-785-1224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Dental Surgery Center - San Jose",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
- Child & Family Counseling Group
- Child Communication and Behavior Specialists
- Amanda Joan Child-Vides, AMFT
- Children'S Dental Initiative
- Children'S Dental Initiative
- Children'S Health Council
- Children'S Health Council
- Children'S Health Council (Children's Health Council, Inc.)
- Children'S Therapy Center, Co. (Almaden Valley Children's Therapy Center)
- Kaitlin Childs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.