Active NPI
Jeffrey R. Sholer
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1972740546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56031
- Legal business name
- JEFFREY R. SHOLER
- Practice address
- 5595 Winfield Blvd
Suite 112
San Jose, CA 95123-1220 - Phone
- (408) 578-5595
- Fax
- (408) 578-3465
- NPI assigned
- Jan 19, 2009
- 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
- Dr. Jeff Sholer, DDS
- Title
- President
- Phone
- (415) 806-3981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56031 | CA | Primary |
Addresses
Primary practice location
5595 Winfield Blvd
Suite 112
San Jose, CA 95123-1220
Mailing address
5595 Winfield Blvd
Suite 112
San Jose, CA 95123-1220
Phone (408) 578-5595
National Provider Directory
National Provider DirectoryLocations
5595 Winfield Blvd
Ste 112
San Jose, CA 95123
Phone (408) 578-5595
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1609531128
-
- Dentist
- San Jose, CA
- NPI 1891989638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232323200000",
"number": "1972740546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-578-5595",
"fax_number": "408-578-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-578-5595",
"fax_number": "408-578-3465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY R. SHOLER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-19",
"last_updated": "2009-01-19",
"status": "A",
"authorized_official_last_name": "SHOLER",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-806-3981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56031",
"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 Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.