Active NPI
Jeremy K Ueno DMD a Professional Corporation
- Oral and Maxillofacial Surgery (Dentist)
- Campbell, CA
National Provider Identifier
1629682901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- JEREMY K UENO DMD A PROFESSIONAL CORPORATION
- Practice address
- 2160 S Bascom Ave Ste 1
Campbell, CA 95008-3297 - Phone
- (408) 371-7616
- Fax
- (408) 371-7615
- NPI assigned
- Sep 3, 2020
- 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
- Jeremy K Ueno, DDS
- Title
- Owner/Ceo
- Phone
- (408) 402-2159
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2160 S Bascom Ave Ste 1
Campbell, CA 95008-3297
Mailing address
2160 S Bascom Ave Ste 1
Campbell, CA 95008-3297
Phone (408) 371-7616
National Provider Directory
National Provider DirectoryLocations
2160 S Bascom Ave
Ste 1
Campbell, CA 95008
Phone (408) 371-7616
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Campbell, CA
- NPI 1013146034
-
- Periodontics
- San Francisco, CA
- NPI 1487902136
-
- Periodontics
- Campbell, CA
- NPI 1366531378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599177600000",
"number": "1629682901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S BASCOM AVE STE 1",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950083297",
"telephone_number": "408-371-7616",
"fax_number": "408-371-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S BASCOM AVE STE 1",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950083297",
"telephone_number": "408-371-7616",
"fax_number": "408-371-7615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMY K UENO DMD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A",
"authorized_official_last_name": "UENO",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "408-402-2159",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.