Individual provider Active NPI

Jessica Bichvan Ton, DDS

  • Pediatric Dentistry
  • Walnut Creek, CA
National Provider Identifier
1609402031
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
106330 Issued in CA
Practice address
3050 Citrus Cir Ste 110
Walnut Creek, CA 94598-2628
Phone
(925) 938-2392
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 106330 CA Primary

Addresses

Primary practice location

3050 Citrus Cir Ste 110
Walnut Creek, CA 94598-2628

Mailing address

14110 Woodhaven Dr
San Jose, CA 95127-3252
Phone (408) 306-8573

Other practice location 1

546 Abbott St
Salinas, CA 93901-4326
Phone (831) 424-7393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106330CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
JB Ton Dental Corporation Pediatric Dentistry Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1609402031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 WOODHAVEN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273252",
            "telephone_number": "408-306-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CITRUS CIR STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982628",
            "telephone_number": "925-938-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 Abbott St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014326",
            "country_code": "US",
            "telephone_number": "831-424-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TON",
        "first_name": "JESSICA",
        "middle_name": "BICHVAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.