Hung Thai Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

44548 Issued in CA

Legal business name

HUNG THAI DENTAL CORPORATION

Practice address

3465 McKee Rd
San Jose, CA 95127-2233

Phone

(408) 929-2808

Fax

(408) 929-8822

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hung Minh Thai, DDS

Title

Owner

Phone

(408) 929-2808

Specialties & licenses 1

Addresses

Other names 1

• Grand Century Dental Center Doing business as

Tax ID family

Grand Century Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Grand Century Dental Center

  • Dentist
  • San Jose, CA
  • NPI 1669542866
  NPD tax ID
• Hung Thai Dental Corp

  • Dentist
  • San Jose, CA
  • NPI 1932316270
  NPD tax ID

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861541815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272233",
            "telephone_number": "408-929-2808",
            "fax_number": "408-929-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272233",
            "telephone_number": "408-929-2808",
            "fax_number": "408-929-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG THAI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-929-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Century Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ouellette Humphreys, PT
• Mandeep Hundal, PHARMD
• Jordan Marie Huneke
• Hung DO Pham
• Hung Thai Dental Corp
• Chia-Yi Selena Hung, D.O.
• Jerry Shao Hung, DPT
• Lisa Hung, DO
• Raymond Hung, MD
• Katie Bernice Hungate

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.