San Jose Dental Surgery Center, Inc.
NPI 1902086606 · Ambulatory Surgical Clinic/Center · San Jose, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Jose Dental Surgery Center, Inc. is a Ambulatory Surgical Clinic/Center organization in San Jose, CA (NPI 1902086606).
Provider details
- NPI number
- 1902086606
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kham Nguyen, Vice President(408) 240-9000
- License
- D52747 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2025-04-05
- Certified
- 2025-04-05
Frequently asked questions
- What is San Jose Dental Surgery Center, Inc.'s NPI number?
- San Jose Dental Surgery Center, Inc.'s National Provider Identifier (NPI) is 1902086606, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Jose Dental Surgery Center, Inc.?
- San Jose Dental Surgery Center, Inc. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Jose Dental Surgery Center, Inc. located?
- San Jose Dental Surgery Center, Inc.'s practice location on file with NPPES is 2048 Story Rd, San Jose, CA 95122-1668.
- What is San Jose Dental Surgery Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Jose Dental Surgery Center, Inc. is (408) 240-9000.
- Does San Jose Dental Surgery Center, Inc. accept Medicare?
- San Jose Dental Surgery Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Jose Dental Surgery Center, Inc.?
- The authorized official listed on San Jose Dental Surgery Center, Inc.'s NPPES record is Kham Nguyen, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Jose Dental Surgery Center, Inc.'s NPI active?
- Yes — San Jose Dental Surgery Center, Inc.'s NPI (1902086606) is active in the NPPES registry as of the last update on 2025-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.