Active NPI
Yeo and Vallarta Dental Dental Corporation
- Dentist
- San Jose, CA
National Provider Identifier
1962897140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- YEO AND VALLARTA DENTAL DENTAL CORPORATION
- Practice address
- 2593 S King Rd Ste 9
San Jose, CA 95122-1880 - Phone
- (408) 238-4824
- Fax
- (408) 238-3028
- NPI assigned
- Apr 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myriam Brenes
- Title
- Office Manager
- Phone
- (408) 238-4824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2593 S King Rd Ste 9
San Jose, CA 95122-1880
Mailing address
2593 S King Rd Ste 9
San Jose, CA 95122-1880
Phone (408) 238-4824
National Provider Directory
National Provider DirectoryLocations
2593 S King Rd
Ste 9
San Jose, CA 95122
Phone (408) 238-4824
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Downey, CA
- NPI 1417492448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428019200000",
"number": "1962897140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 S KING RD STE 9",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221880",
"telephone_number": "408-238-4824",
"fax_number": "408-238-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 S KING RD STE 9",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221880",
"telephone_number": "408-238-4824",
"fax_number": "408-238-3028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEO AND VALLARTA DENTAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A",
"authorized_official_last_name": "BRENES",
"authorized_official_first_name": "MYRIAM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "408-238-4824",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"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 Apr 3, 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.