NPIMap

Organization Active NPI

West Coast Dental

  • Dental Assistant
  • San Jose, CA
National Provider Identifier
1730578063
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
76347 Issued in CA
Legal business name
WEST COAST DENTAL
Practice address
3571 N 1St St Ste 203
San Jose, CA 95134-1803
Phone
(408) 424-2200
NPI assigned
Jan 9, 2015
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Krystal Hernandez
Title
Office Manager
Phone
(408) 424-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 76347 CA Primary

Addresses

Primary practice location

3571 N 1St St Ste 203
San Jose, CA 95134-1803

Mailing address

3571 N 1St St Ste 203
San Jose, CA 95134-1803

Other identifiers 2

IdentifierTypeStateIssuer
126800000XOtherCADENTAL
1649611591OtherCADENTAL PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

3571 N 1st St
Ste 203
San Jose, CA 95134
Phone (310) 409-4277

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1730578063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341803",
            "telephone_number": "408-424-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-424-2200"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "76347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "126800000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PROVIDER",
            "identifier": "1649611591",
            "state": "CA"
        }
    ],
    "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 Jan 9, 2015; 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.