Active NPI
J Alexander Hoang Mendoza
- Dentist
- San Jose, CA
National Provider Identifier
1700351236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102801
- Practice address
- 90 E Taylor St
San Jose, CA 95112-5002 - Phone
- (408) 294-9944
- NPI assigned
- Oct 11, 2018
- Last updated
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 102801 | CA | Primary |
Addresses
Primary practice location
90 E Taylor St
San Jose, CA 95112-5002
Mailing address
683 Morse St
San Jose, CA 95126-2119
Phone (408) 799-8548
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex H. Mendoza DDS Inc | Dentist | Current | Accepting new patients |
| Terri Nguyen, D.D.S., Inc. | Dentist | Past | Accepting new patients |
Locations
90 E Taylor St
San Jose, CA 95112
Phone (408) 294-9944
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Portal Family Dentistry
- Dentist
- San Francisco, CA
- NPI 1124179320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1700351236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 MORSE ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262119",
"telephone_number": "408-799-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E TAYLOR ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125002",
"telephone_number": "408-294-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "J ALEXANDER",
"middle_name": "HOANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102801",
"primary": true
}
],
"identifiers": [],
"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 Aug 23, 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.