Individual provider Active NPI

David Bo, DDS

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1952735474
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61547 Issued in CA
Practice address
1565 Hollenbeck Ave
Suite 122
Sunnyvale, CA 94087-5922
Phone
(408) 739-0723
Fax
(408) 739-0996
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61547 CA Primary

Addresses

Primary practice location

1565 Hollenbeck Ave
Suite 122
Sunnyvale, CA 94087-5922

Mailing address

1565 Hollenbeck Ave
Suite 122
Sunnyvale, CA 94087-5922
Phone (408) 739-0723

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
61547CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Bo DDS Dental Corp General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1952735474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 HOLLENBECK AVE",
            "address_2": "SUITE 122",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875922",
            "telephone_number": "408-739-0723",
            "fax_number": "408-739-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 HOLLENBECK AVE",
            "address_2": "SUITE 122",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875922",
            "telephone_number": "408-739-0723",
            "fax_number": "408-739-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.