Individual provider Active NPI

Nhan Nguyen Dao, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1801945795
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45562 Issued in CA
Practice address
999 Story Rd Ste 9066
San Jose, CA 95122-4604
Phone
(408) 937-8881
Fax
(408) 228-8099
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45562 CA Primary

Addresses

Primary practice location

999 Story Rd Ste 9066
San Jose, CA 95122-4604

Mailing address

999 Story Rd Ste 9066
San Jose, CA 95122-4604
Phone (408) 937-8881

Other identifiers 1

IdentifierTypeStateIssuer
B45562-01OtherCADENTI-CAL PROVIDER NUMBER

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1801945795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 STORY RD STE 9066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224604",
            "telephone_number": "408-937-8881",
            "fax_number": "408-228-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 STORY RD STE 9066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224604",
            "telephone_number": "408-937-8881",
            "fax_number": "408-228-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "NHAN",
        "middle_name": "NGUYEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "B45562-01",
            "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 Oct 21, 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.