NPIMap

Organization Active NPI

Roberto V Espejo Jr DDS Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1669513172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37820 Issued in CA
Legal business name
ROBERTO V ESPEJO JR DDS INC
Practice address
3278 Noble Ave
San Jose, CA 95132
Phone
(408) 937-8333
Fax
(408) 923-4457
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roberto V Espeso Jr., DDS
Title
President
Phone
(408) 937-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37820 CA Primary

Addresses

Primary practice location

3278 Noble Ave
San Jose, CA 95132

Mailing address

3278 Noble Ave
San Jose, CA 95132
Phone (408) 937-8333

Other names 1

  • Parktown Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parktown Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3278 Noble Ave
San Jose, CA 95132
Phone (408) 937-8333

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669513172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 NOBLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95132",
            "telephone_number": "408-937-8333",
            "fax_number": "408-923-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 NOBLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95132",
            "telephone_number": "408-937-8333",
            "fax_number": "408-923-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO V ESPEJO JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPESO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-937-8333",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parktown 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 Aug 22, 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.

Verify at the official NPI Registry.