NPIMap

Organization Active NPI

Kothary Professional Dental Corporation Ez Dental

Doing business as Ez Dental

  • Dentist
  • San Jose, CA
National Provider Identifier
1689233280
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL
Doing business as
Ez Dental
EZ Dental Group
Practice address
5730 Cottle Rd Ste 240
San Jose, CA 95123-3764
Phone
(408) 227-6000
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Dr. Sapana Karsan Kothary, DDS
Title
Owner, Dentist
Phone
(408) 227-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

5730 Cottle Rd Ste 240
San Jose, CA 95123-3764

Mailing address

5669 La Seyne PL
San Jose, CA 95138-2240
Phone (408) 266-6144

Other names 2

  • EZ DENTAL Doing business as
  • EZ Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ez Dental2 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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1689233280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 LA SEYNE PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382240",
            "telephone_number": "408-266-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 COTTLE RD STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233764",
            "telephone_number": "408-227-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "KOTHARY",
        "authorized_official_first_name": "SAPANA",
        "authorized_official_middle_name": "KARSAN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "408-227-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZ Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZ Dental Group",
            "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 Feb 25, 2021; 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.