Adrienne Ngoclan Van, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40506 Issued in CA

Practice address

2114 Senter Rd
Suite 14
San Jose, CA 95112-2608

Phone

(408) 298-8187

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lan Ngocthi Van Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: adrienne.van@sjffcc.eclinicaldirectplus.com
• Direct secure messaging: avan330454@direct.ochin.org

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538206149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 VILLA CONTESSA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "SUITE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-298-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "ADRIENNE",
        "middle_name": "NGOCLAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "VAN",
            "middle_name": "NGOCTHI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabella Van Rossen
• Alexis Silao Van Sickle, FNP
• Charisma Van Sickle, FNP
• Rebecca Kerry Van Sickle
• Erica Van Skike
• Cathy Van
• Darlene Tran Van, D.C.
• Hoan Van, DPM
• Huan Van, DMD
• Huy Ngoc Van, D.D.S.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.