Active NPI
Jeffrey Ryan Sholer, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1891989638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56031
- Practice address
- 5595 Winfield Blvd
Suite 112
San Jose, CA 95123-1220 - Phone
- (408) 578-5595
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56031 | CA | Primary |
Addresses
Primary practice location
5595 Winfield Blvd
Suite 112
San Jose, CA 95123-1220
Mailing address
5595 Winfield Blvd.
Suite 112
San Jose, CA 95123-1220
Phone (408) 578-5595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56031 | CA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey R. Sholer | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1972740546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1891989638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD.",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-578-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-578-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOLER",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56031",
"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 Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.