Organization Active NPI

West San Jose Modern Dentistry, Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1821968512
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST SAN JOSE MODERN DENTISTRY, INC.
Doing business as
West San Jose Modern Dentistry
Practice address
5142 Stevens Creek Blvd
San Jose, CA 95129-1019
Phone
(408) 770-4486
Fax
(408) 728-8331
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Parisa Zargar, DMD
Title
Owner
Phone
(408) 770-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5142 Stevens Creek Blvd
San Jose, CA 95129-1019

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • West San Jose Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5142 Stevens Creek Blvd
San Jose, CA 95129
Phone (408) 770-4486

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1821968512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291019",
            "telephone_number": "408-770-4486",
            "fax_number": "408-728-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SAN JOSE MODERN DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "ZARGAR",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-770-4486",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West San Jose Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 7, 2025; 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.