DR. JOSEPH DEREK FRIDGEN


Address: 189 N Bascom Ave Ste 200, San Jose, CA 95128-1869
Phone: 4082866315

DR. JOSEPH DEREK FRIDGEN (NPI# 1003980194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003980194
Entity Type Individual
Full Name DR. JOSEPH DEREK FRIDGEN
Credential DDS
Practice Address 189 N Bascom Ave Ste 200
San Jose
CA 95128-1869
Practice Telephone 4082866315
Practice Fax Number 4082866319
Mailing Telephone 4082866315
Mailing Fax Number 4082866319
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
50909 CA Dental Providers

Office Location

Street Address 189 N BASCOM AVE STE 200
City SAN JOSE
State CA
Zip Code 95128-1869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871667972 Joseph Webster Rideau Dentist 189 N Bascom Ave Ste 200, San Jose, CA 95128-1869 2006-11-20
1023182144 Randy Q. Ligh Dentist 189 N Bascom Ave Ste 200, San Jose, CA 95128-1869 2006-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932512647 Agelina Paek Dentist 6942 Almaden Expy, San Jose, CA 95120-3201 2014-06-10
1053748608 Vincent D Van Dentist 1771 Trudean Way, San Jose, CA 95132-1540 2013-09-27
1013265602 Nguyen and Tran Dental Corporation Dentist 2680 S White Rd Ste 255, San Jose, CA 95148-2080 2012-08-29
1891063574 Elizabeth Duell Dentist 4635 Piper Drive, San Jose, CA 95129 2011-12-08
1962792887 My Phuong Pham Dentist 2810 Deerwood Dr, San Jose, CA 95148-2625 2011-04-12
1124272919 Suzanne Nguyen Dentist 1569 Lexann Ave Ste 222, San Jose, CA 95121-1795 2008-11-06
1609041482 Scott Jacks, Dds, Inc Dentist 1153 S King Rd, San Jose, CA 95122-2144 2008-04-23
1891847596 Cyrus M Akhbari I Dentist 1201 Park Ave, Suite#2, San Jose, CA 95126-2919 2007-01-16
1700957297 Marilou D Navarro Dentist 750 N Capitol Ave Ste C2, San Jose, CA 95133-1942 2006-11-13
1154334530 Philip Wolkstein Dentist 841 Blossom Hill Rd Ste 210, San Jose, San Jose, CA 95123-2704 2006-08-15
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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