Phelps Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

48763 Issued in CA

Legal business name

PHELPS DENTAL CORPORATION

Doing business as

Nor Cal Airway

Practice address

2075 Forest Ave Ste 6
San Jose, CA 95128-4812

Phone

(408) 828-1756

NPI assigned

Aug 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eric Phelps, DDS, MS

Title

Dr.

Phone

(408) 828-1756

Specialties & licenses 1

Addresses

Other names 1

• Nor Cal Airway Doing business as

Locations

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1861974289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-828-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-828-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "408-828-1756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nor Cal Airway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinh Phan
• Vinson Phan
• Yvonne Phan
• Phanle, Inc (Get Well Pharmacy)
• Pharmex, Inc.
• Eric Phelps, DDS, MS
• Bophal Phen
• Sokhamony Chhorn Pheng
• Zippara Pheng
• Anthony Le Phero, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.