Individual provider Active NPI

Brittany Chou

  • Dentist
  • San Jose, CA
National Provider Identifier
1871120485
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104842 Issued in CA
Practice address
136 Birch LN
San Jose, CA 95127-2310
Phone
(480) 748-7856
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104842 CA Primary

Addresses

Primary practice location

136 Birch LN
San Jose, CA 95127-2310

Mailing address

136 Birch LN
San Jose, CA 95127-2310
Phone (480) 748-7856

Other practice location 1

2480 El Camino Real
Redwood City, CA 94063-2850
Phone (650) 216-8488

Other practice location 2

136 Birch Ln
San Jose, CA 95127-2310
Phone (480) 748-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104842CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth B Nguyen DDS Inc PastSince Sep 17, 2023 Accepting new patients
Elizabeth B. Nguyen DDS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1871120485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BIRCH LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272310",
            "telephone_number": "480-748-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BIRCH LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272310",
            "telephone_number": "480-748-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940632850",
            "country_code": "US",
            "telephone_number": "650-216-8488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Birch Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951272310",
            "country_code": "US",
            "telephone_number": "480-748-7856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOU",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104842",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 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.