Active NPI
Thomas-Dung Song Cao, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1679680433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46459
- Practice address
- 3072 Landess Ave
San Jose, CA 95132 - Phone
- (408) 719-1111
- Fax
- (408) 719-0511
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46459 | CA | Primary |
Addresses
Primary practice location
3072 Landess Ave
San Jose, CA 95132
Mailing address
3072 Landess Ave
San Jose, CA 95132
Phone (408) 719-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4645901 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46459 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Dung Song Cao DDS Inc | Dentist | Past | 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.
-
- Dentist
- San Jose, CA
- NPI 1386856458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679680433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3072 LANDESS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-719-1111",
"fax_number": "408-719-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3072 LANDESS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-719-1111",
"fax_number": "408-719-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "THOMAS-DUNG",
"middle_name": "SONG",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B4645901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.