NPIMap

Organization Active NPI

Oakridge Dental Inc

  • Preferred Provider Organization
  • San Jose, CA
National Provider Identifier
1982896072
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
38560 Issued in CA
Legal business name
OAKRIDGE DENTAL INC
Practice address
5450 Thornwood Dr Ste B
San Jose, CA 95123-1222
Phone
(408) 360-0270
Fax
(408) 360-0275
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Stephen Amir Mashhoon, D.D.S.NPI 1760502348
Title
Owner/Dentist
Phone
(408) 360-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 38560 CA
Preferred Provider Organization 305R00000X 38560 CA Primary

Addresses

Primary practice location

5450 Thornwood Dr Ste B
San Jose, CA 95123-1222

Mailing address

5450 Thornwood Dr Ste B
San Jose, CA 95123-1222
Phone (408) 360-0270

National Provider Directory

National Provider Directory

Locations

5450 Thornwood Dr
Ste B
San Jose, CA 95123
Phone (408) 360-0270

Practitioners & affiliated clinicians

Practitioners 3

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1982896072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 THORNWOOD DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231222",
            "telephone_number": "408-360-0270",
            "fax_number": "408-360-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 THORNWOOD DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231222",
            "telephone_number": "408-360-0270",
            "fax_number": "408-360-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "MASHHOON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "AMIR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "408-360-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "38560",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "38560",
            "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 Mar 8, 2016; 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.