Organization Active NPI

Tracy Filler, DMD, Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1922669597
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRACY FILLER, DMD, INC.
Practice address
1569 Lexann Drive
Suite 202
San Jose, CA 95121
Phone
(408) 329-8922
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Tracy Dao Filler, DMD
Title
President
Phone
(408) 329-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1569 Lexann Drive
Suite 202
San Jose, CA 95121

Mailing address

1569 Lexann Drive
Suite 202
San Jose, CA 95121
Phone (408) 329-8922

National Provider Directory

National Provider Directory
Tax ID family
Toothfillers Dental Practice of Tracy Filler DMD 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.

Locations

1569 Lexann Ave
Ste 202
San Jose, CA 95121
Phone (408) 329-8922

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1922669597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN DRIVE",
            "address_2": "SUITE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-329-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN DRIVE",
            "address_2": "SUITE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-329-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY FILLER, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "FILLER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-329-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Jun 25, 2019; 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.