Khai Vudang Dong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55120 Issued in CA

Practice address

1907 Naples Dr
San Jose, CA 95122-1920

Phone

(408) 904-9814

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1992873806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 NAPLES DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221920",
            "telephone_number": "408-904-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 NAPLES DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221920",
            "telephone_number": "408-904-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "KHAI",
        "middle_name": "VUDANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anne Donaldson
• Jacqueline Donato
• Michael A Donato
• Bac-Ai Dong, PHARM. D.
• Cang Kim Dong
• Marcus Jerome Dong, PHARM.D.
• Quan Dong, LMFT
• Marguerite Alice Donius, RN
• Katherine Elena Donnellan
• Gopala Donnelly, PPS

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.