Organization Active NPI

Adrienne Ngoc Lan Van, DDS, Inc.

  • Preferred Provider Organization
  • San Jose, CA
National Provider Identifier
1922455575
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
40506 Issued in CA
Legal business name
ADRIENNE NGOC LAN VAN, DDS, INC.
Practice address
2114 Senter Rd
Ste 14
San Jose, CA 95112-2608
Phone
(408) 298-8187
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ADRIENNE NGOC LAN VAN, DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Adrienne Van, DDSNPI 1538206149
Title
Dentist
Phone
(408) 298-8187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 40506 CA Primary

Addresses

Primary practice location

2114 Senter Rd
Ste 14
San Jose, CA 95112-2608

Mailing address

2114 Senter Rd
Ste 14
San Jose, CA 95112-2608
Phone (408) 298-8187

National Provider Directory

National Provider Directory
Tax ID family
Adrienne Ngoc Lan Van DDS Inc2 organizations share this tax ID, including this one
Part of
Adrienne Ngoc Lan Van DDS Inc

Other organizations with this tax ID 1

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

Locations

2114 Senter Rd
Ste 14
San Jose, CA 95112
Phone (408) 223-6336

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1922455575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "STE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-298-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "STE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-298-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE NGOC LAN VAN, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADRIENNE NGOC LAN VAN, DDS, INC",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-298-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "40506",
            "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 May 24, 2016; 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.