TRACY FILLER, DMD, INC.


Address: 1569 Lexann Ave, San Jose, CA 95121-1794
Phone: 4083298922

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ToothFillers Dental Practice of Tracy Filler, DMD, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922669597 Tracy Filler, Dmd, Inc. Dentist 1569 Lexann Drive, Suite 202, San Jose, CA 95121 2019-06-25

Office Location

Street Address 1569 LEXANN AVE
City SAN JOSE
State CA
Zip Code 95121-1794

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City SAN JOSE
Zip Code 95121

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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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