D. Thomas Urban M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

00A202480 Issued in CA

Legal business name

D. THOMAS URBAN M.D., INC

Practice address

6501 Crown Blvd.
Suite #106a
San Jose, CA 95120-2903

Phone

(408) 268-9660

Fax

(408) 268-9662

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dolph Thomas Urban, M.D.

Title

Presidnet/ Owner

Phone

(408) 268-9660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1568767663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CROWN BLVD.",
            "address_2": "SUITE #106A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202903",
            "telephone_number": "408-268-9660",
            "fax_number": "408-268-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 CROWN BLVD.",
            "address_2": "SUITE #106A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202903",
            "telephone_number": "408-268-9660",
            "fax_number": "408-268-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. THOMAS URBAN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "DOLPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDNET/ OWNER",
        "authorized_official_telephone_number": "408-268-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "00A202480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.