Calvin E. Yim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31548 Issued in CA

Legal business name

CALVIN E. YIM, DDS

Practice address

80 Jackson St
San Jose, CA 95112-5163

Phone

(408) 292-1240

Fax

(408) 292-1240

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Yim, DDSNPI 1760600696

Title

Owner

Phone

(408) 292-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Calvin Earl Yim, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1760600696
  NPD (past) Authorized official
• Norman Wilson Yim, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1710106844
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1750644969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125163",
            "telephone_number": "408-292-1240",
            "fax_number": "408-292-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN E. YIM, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-292-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B31548-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Terrak Calvert, D.D.S.
• Dennis Wade Calvert, D.D.S.
• Victor Manuel Calvillo Chavez
• Rose Calvillo-Jara
• Diego Alexander Calvillo
• Nicole Calvino
• Adrianne Camacho
• Alexander D Camacho
• Alicia Guadalupe Camacho
• Frida Camacho

• 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 Jun 21, 2012; 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.