Organization Active NPI

Abriol Dental Corp.

  • Dentist
  • San Jose, CA
National Provider Identifier
1821287814
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B43301 Issued in CA
Legal business name
ABRIOL DENTAL CORP.
Practice address
3068 Story Rd
San Jose, CA 95127-3934
Phone
(408) 259-0458
Fax
(408) 729-0559
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Nicasio Macaraeg Abriol Jr., DMDNPI 1336366418
Title
Owner
Phone
(408) 259-0458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X B43301 CA Primary

Addresses

Primary practice location

3068 Story Rd
San Jose, CA 95127-3934

Mailing address

3068 Story Rd
San Jose, CA 95127-3934
Phone (408) 259-0458

Other identifiers 1

IdentifierTypeStateIssuer
D43301MedicaidCA

National Provider Directory

National Provider Directory

Locations

3068 Story Rd
San Jose, CA 95127
Phone (408) 259-0458

Practitioners & affiliated clinicians

Practitioners 2

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1821287814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273934",
            "telephone_number": "408-259-0458",
            "fax_number": "408-729-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273934",
            "telephone_number": "408-259-0458",
            "fax_number": "408-729-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRIOL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ABRIOL",
        "authorized_official_first_name": "NICASIO",
        "authorized_official_middle_name": "MACARAEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-259-0458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "B43301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D43301",
            "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 16, 2007; 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.