Organization Active NPI

Thomas Dung Song Cao DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1861614364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46459 Issued in GA
Legal business name
THOMAS DUNG SONG CAO DDS INC
Practice address
940 Story Road
San Jose, CA 95122
Phone
(408) 280-5280
Fax
(408) 280-5680
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Dung Song Cao, DDS
Title
President
Phone
(408) 280-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46459 GA Primary

Addresses

Primary practice location

940 Story Road
San Jose, CA 95122

Mailing address

940 Story Road
San Jose, CA 95122
Phone (408) 280-5280

Other identifiers 1

IdentifierTypeStateIssuer
G9402502MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Thomas Dung Song Cao DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861614364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 STORY ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-280-5280",
            "fax_number": "408-280-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STORY ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-280-5280",
            "fax_number": "408-280-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DUNG SONG CAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "THOMAS DUNG",
        "authorized_official_middle_name": "SONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-280-5280",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "46459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9402502",
            "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 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.