Organization Active NPI

Jennifer Moran, DDS, Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1932596152
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA57351 Issued in CA
Legal business name
JENNIFER MORAN, DDS, INC.
Practice address
5710 Cahalan Ave Ste 8L
San Jose, CA 95123-3060
Phone
(408) 578-4600
Fax
(408) 578-4638
NPI assigned
Apr 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Authorized official

Name
Dr. Jennifer Moran, DDS
Title
President
Phone
(408) 578-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X CA57351 CA Primary

Addresses

Primary practice location

5710 Cahalan Ave Ste 8L
San Jose, CA 95123-3060

Mailing address

5710 Cahalan Ave Ste 8L
San Jose, CA 95123-3060
Phone (408) 578-4600

National Provider Directory

National Provider Directory

Locations

5710 Cahalan Ave
Ste 8L
San Jose, CA 95123
Phone (408) 578-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1932596152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 8L",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233060",
            "telephone_number": "408-578-4600",
            "fax_number": "408-578-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 8L",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233060",
            "telephone_number": "408-578-4600",
            "fax_number": "408-578-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MORAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-578-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA57351",
            "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 Apr 26, 2015; 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.