Active NPI
Karl G Lum Jr DDS and Robert M Lum, DDS, Inc
Doing business as Brilliant Smiles Family Dental Care
- General Practice Dentistry
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43812
- Legal business name
- KARL G LUM JR DDS AND ROBERT M LUM, DDS, INC
- Doing business as
- Brilliant Smiles Family Dental Care
- Practice address
- 1399 S Winchester Blvd
#130
San Jose, CA 95128-4300 - Phone
- (408) 377-0953
- NPI assigned
- Oct 4, 2016
- 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. Karl Gut Lum Jr., D.D.S.
- Title
- President
- Phone
- (408) 377-0953
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 | 43812 | CA | Primary |
Addresses
Primary practice location
1399 S Winchester Blvd
#130
San Jose, CA 95128-4300
Mailing address
1399 S Winchester Blvd
#130
San Jose, CA 95128-4300
Phone (408) 377-0953
Other names 1
- Brilliant Smiles Family Dental Care
National Provider Directory
National Provider Directory- Tax ID family
- Brilliant Smiles Family Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Fremont, CA
- NPI 1578963559
Locations
1399 S Winchester Blvd
Ste 130
San Jose, CA 95128
Phone (408) 377-0953
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fremont, CA
- NPI 1396851499
-
- Dentist
- Fremont, CA
- NPI 1679689772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1548710445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 S WINCHESTER BLVD",
"address_2": "#130",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284300",
"telephone_number": "408-377-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 S WINCHESTER BLVD",
"address_2": "#130",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284300",
"telephone_number": "408-377-0953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARL G LUM JR DDS AND ROBERT M LUM, DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "LUM",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "GUT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-377-0953",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brilliant Smiles Family Dental Care",
"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 Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.