TRACY FILLER, DMD, INC. (NPI# 1528628146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528628146 |
Entity Type | Organization |
Organization Name | TRACY FILLER, DMD, INC. |
Practice Address |
1569 Lexann Ave San Jose CA 95121-1794 |
Mailing Address |
3809 De La Cruz Blvd Santa Clara CA 95054-2116 |
Practice Telephone | 4083298922 |
Mailing Telephone | 4083298922 |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-17 |
Authorized Official Name | DR. TRACY DAO FILLER (PRESIDENT) |
Authorized Official Telephone | 4083298922 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ToothFillers Dental Practice of Tracy Filler, DMD, Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
Street Address |
1569 LEXANN AVE |
City | SAN JOSE |
State | CA |
Zip Code | 95121-1794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602710 | Tuan Le | Internal Medicine | 1569 Lexann Ave, Suite 122, San Jose, CA 95121-1794 | 2005-07-14 |
1669921367 | Rupinder Purewal Dds, Inc | Dentist | 1569 Lexann Ave, 212, San Jose, CA 95121 | 2016-09-23 |
1558614073 | Pacific Partners Medical Group Inc. | Family Medicine | 1569 Lexann Ave, 128, San Jose, CA 95121-1794 | 2012-10-22 |
1235481300 | Hai Phan Dds Inc | Dentist | 1569 Lexann Ave, Suite #108, San Jose, CA 95121-1794 | 2012-10-12 |
1962752600 | Susan Tran | Family Medicine | 1569 Lexann Ave, Suite 128, San Jose, CA 95121-1794 | 2012-09-10 |
1801155817 | Huynh Optometry Corp. | Optometrist | 1569 Lexann Ave, Suite 124, San Jose, CA 95121-1794 | 2012-05-10 |
1497031660 | Anh-thy N. Huynh | Optometrist | 1569 Lexann Ave, Suite 124, San Jose, CA 95121-1794 | 2011-11-01 |
1598079162 | Sterling Physical Therapy | Occupational Therapist | 1569 Lexann Ave, San Jose, CA 95121-1794 | 2010-08-05 |
1003132457 | Tuan Le, M.d. A Professional Corporation | Clinic/Center | 1569 Lexann Ave, Suite 122, San Jose, CA 95121-1794 | 2010-04-09 |
1871763078 | Lexann Dentals Corp | Dentist | 1569 Lexann Ave, Suite 108, San Jose, CA 95121-1794 | 2008-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
1538681325 | Sujata S Gawande | Dentist | 2060 Aborn Rd Ste 125, San Jose, CA 95121 | 2017-07-12 |
1871950188 | Keiana Harrington | Behavioral Analyst | 6958 Del Rio Dr., San Jose, CA 95121 | 2016-01-19 |
1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
1013290766 | Minh V Nguy | Dentist | 3161 Senter Road, San Jose, CA 95121 | 2011-09-20 |
1528388139 | Vu V. Le Chiro | Chiropractor | 1059 E. Capitol Expressway, San Jose, CA 95121 | 2010-06-04 |
1205087012 | Lanni Huynh | Acupuncturist | 2936 Aborn Square, San Jose, CA 95121 | 2008-10-10 |
1598936676 | Soumya Shivanna | Dentist | 1620 E.capitol Expressway, Suite C, San Jose, CA 95121 | 2008-03-18 |
1144434903 | Jeremy D. Lai | Pharmacist | 1569 Lexann Avenue, Suite 104, San Jose, CA 95121 | 2007-05-10 |
Find all providers in zip 95121 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033750195 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5253 Prospect Rd Ste D-2, San Jose, CA 95129-5025 | 2019-09-30 |
1295203941 | Dr. Jacqueline B. Nguyen, Dds, Apc | Clinic/Center | 2847 S White Rd Ste 204, San Jose, CA 95148-2942 | 2018-11-09 |
1326521055 | Rachana Vyas Dds Inc | Clinic/Center | 5150 Graves Ave Ste 5c, San Jose, CA 95129-5005 | 2018-09-10 |
1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
1750860912 | Cory A. Timbers, Dds, Inc. | Clinic/Center | 155 N Jackson Ave Ste 202, San Jose, CA 95116-1925 | 2018-08-08 |
1730675109 | Healing Property LLC | Clinic/Center | 2211 Moorpark Ave Ste 100, San Jose, CA 95128-2655 | 2018-07-09 |
1225524226 | Young Dental Corporation | Clinic/Center | 1705 Branham Ln Ste B4, San Jose, CA 95118-5222 | 2018-07-03 |
1902399637 | Changndds, Inc | Clinic/Center | 3161 Senter Rd Ste F&g, San Jose, CA 95111-1300 | 2018-06-07 |
1861981813 | Rachna Pall D.d.s Inc. | Clinic/Center | 2323 Montpelier Dr Ste B, San Jose, CA 95116-1611 | 2018-05-05 |
1194212464 | Thao Minh Nguyen, Dds, Inc | Clinic/Center | 2811 Story Rd Ste 50, San Jose, CA 95127-3924 | 2018-04-22 |
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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.