Charles R Bocks III DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22783 Issued in CA

Legal business name

CHARLES R BOCKS III DDS INC

Practice address

1660 Willow St
Suite 7
San Jose, CA 95125-5101

Phone

(408) 266-4571

Fax

(408) 267-9016

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Rudolph Bocks III, DDSNPI 1174685960

Title

Owner President

Phone

(408) 266-4571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Rudolph Bocks III, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1174685960
  Authorized official Same address or phone

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730241548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R BOCKS III DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOCKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "408-266-4571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.