Individual provider Active NPI

Steve Phuc Trinh, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1821154006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D41687 Issued in CA
Practice address
478 E Santa Clara St
Ste. 103
San Jose, CA 95112-3545
Phone
(408) 280-7070
Fax
(408) 280-7071
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D41687 CA Primary

Addresses

Primary practice location

478 E Santa Clara St
Ste. 103
San Jose, CA 95112-3545

Mailing address

478 E Santa Clara St
Ste. 103
San Jose, CA 95112-3545
Phone (408) 280-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307002373 CA Order and Referring Only - DentistPractitioner - Dentist 3971809625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D41687CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Phuc Trinh, DDS, Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821154006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E SANTA CLARA ST",
            "address_2": "STE. 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123545",
            "telephone_number": "408-280-7070",
            "fax_number": "408-280-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 E SANTA CLARA ST",
            "address_2": "STE. 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123545",
            "telephone_number": "408-280-7070",
            "fax_number": "408-280-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "STEVE",
        "middle_name": "PHUC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D41687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.