Edegar Vergara, DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDEGAR VERGARA, DMD INC

Doing business as

680 DENTAL CARE

Practice address

2340 McKee Rd Ste 3
San Jose, CA 95116-1615

Phone

(669) 284-9988

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Edegar Vergara, DMDNPI 1326463126

Title

Ceo

Phone

(669) 284-9988

Specialties & licenses 1

Addresses

Other names 1

• 680 DENTAL CARE Doing business as

Practitioners 1

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

• Edegar Vergara, DMD

  • Dentist
  • San Jose, CA
  • NPI 1326463126
  NPD (past) Authorized official

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1699262634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "669-284-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "669-284-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEGAR VERGARA, DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "EDEGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-284-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "680 DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Scott Eckfeld, DC
• Ryan Sean Eckford
• Ecko Transportation Inc.
• Fatima Eclarino
• Jo Eclevia
• Amy Edelstein
• Tenisha Edmiston, A.P.N.
• Grace Anne Edmonds
• Tiffany Edmonds
• Osafanmwen Edogun, RPH

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.