CALIFORNIA INTEGRATED DENTISTRY
NPI 1023777539
Dentist - General Practice in San Jose, CA

Active since December 12, 2021
2066 N CAPITOL AVE # 1169, SAN JOSE, CA 95132(254) 550-3280 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About California Integrated Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA INTEGRATED DENTISTRY (NPI 1023777539) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since December 2021. The organization lists Kiyoshi Thompson, Hod, as its authorized official.

NPPES Registry Identity

NPI1023777539
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCALIFORNIA INTEGRATED DENTISTRY
Location Address2066 N CAPITOL AVE # 1169San Jose, CA 95132-1015
Mailing Address2066 N Capitol Ave # 1169San Jose, CA 95132-1015 · (254) 550-3280
Organization SubpartNo
Authorized OfficialKiyoshi ThompsonHod · (254) 550-3280
Enumeration DateDecember 12, 2021
NPPES CertifiedDecember 12, 2021
NPI 1023777539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2066 N CAPITOL AVE # 1169, San Jose, CA 95132

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Integrated Dentistry's NPI number?

The NPI number for California Integrated Dentistry is 1023777539. It was assigned to this organization in the NPPES registry on December 12, 2021.

Where is California Integrated Dentistry located?

California Integrated Dentistry is located at 2066 N Capitol Ave # 1169, San Jose, CA 95132. The listed phone number is (254) 550-3280.

What is California Integrated Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for California Integrated Dentistry was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.