Organization Active NPI

Yeo and Vallarta Dental Dental Corporation

  • Dentist
  • San Jose, CA
National Provider Identifier
1962897140
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Apr 3, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.