NPIMap

Organization Active NPI

George M. Yellich, DDS, Ms & Joseph a. Sands, Jr., DDS, Dental Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
National Provider Identifier
1831414549
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
23580 Issued in CA
Legal business name
GEORGE M. YELLICH, DDS, MS & JOSEPH A. SANDS, JR., DDS, DENTAL CORP
Practice address
1655 The Alameda
San Jose, CA 95126-2203
Phone
(408) 288-7714
Fax
(408) 288-7706
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Jim Huff
Title
Center Administrator
Phone
(408) 556-9852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 27832 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 23580 CA Primary

Addresses

Primary practice location

1655 The Alameda
San Jose, CA 95126-2203

Mailing address

1655 The Alameda
San Jose, CA 95126-2203
Phone (408) 288-7714

Other names 1

  • ClearChoice Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

1655 The Alameda
San Jose, CA 95126
Phone (408) 288-7714

Practitioners & affiliated clinicians

Practitioners 3

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1831414549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-288-7714",
            "fax_number": "408-288-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-288-7714",
            "fax_number": "408-288-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M. YELLICH, DDS, MS & JOSEPH A. SANDS, JR., DDS, DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CENTER ADMINISTRATOR",
        "authorized_official_telephone_number": "408-556-9852"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "27832",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "23580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearChoice Dental Implant Center",
            "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 Apr 6, 2010; 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.