Organization Active NPI

Children'S Dental Surgery Center - San Jose

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1528700820
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. Brian Scott Adams, DDSNPI 1366571234
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.