Organization Active NPI

Jason T Cao DDS. Inc.

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1679903314
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61712 Issued in CA
Legal business name
JASON T CAO DDS. INC.
Practice address
9211 Bolsa Ave Ste 210
Westminster, CA 92683-5570
Phone
(714) 893-1010
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Jason Thai Cao
Title
Owner
Phone
(714) 893-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61712 CA Primary

Addresses

Primary practice location

9211 Bolsa Ave Ste 210
Westminster, CA 92683-5570

Mailing address

9211 Bolsa Ave Ste 210
Westminster, CA 92683-5570
Phone (714) 893-1010

National Provider Directory

National Provider Directory

Locations

9211 Bolsa Ave
Ste 210
Westminster, CA 92683
Phone (714) 893-1010

Practitioners & affiliated clinicians

Practitioners 1

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1679903314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 BOLSA AVE STE 210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835570",
            "telephone_number": "714-893-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 BOLSA AVE STE 210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835570",
            "telephone_number": "714-893-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T CAO DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-893-1010"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.