Phuc Phan Trinh D.D.S Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHUC PHAN TRINH D.D.S INC

Practice address

1608 McKee Rd #20
San Jose, CA 95116

Phone

(408) 678-0102

Fax

(408) 678-0104

NPI assigned

Dec 8, 2014

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PHUC PHAN TRINH D.D.S INCAs reported in NPPES

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

Authorized official

Name

Phuc Phan Trinh, D.D.SNPI 1568674539

Title

Ceo

Phone

(408) 678-0102

Specialties & licenses 3

Addresses

Part of

Phuc Phan Trinh DDS Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phuc Phan Trinh, DDS

  • Dentist
  • San Jose, CA
  • NPI 1568674539
  NPD (past) Authorized official

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1548668544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MCKEE RD #20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-678-0102",
            "fax_number": "408-678-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MCKEE RD #20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-678-0102",
            "fax_number": "408-678-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUC PHAN TRINH D.D.S INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHUC PHAN TRINH D.D.S INC",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "PHUC",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-678-0102",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46703",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Phoun
• Aileen Phu
• Andy Ki Phu
• Johnny Phu
• Mymy Phu, PHARM. D.
• Brian Chang Phung, DO
• Diana Phung
• Kevin Phung
• Leslie Phung
• Thanh T Phung, RPH

• 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 Jan 26, 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.