MOON J SONG (NPI# 1548479777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548479777 |
| Entity Type | Individual |
| Full Name | MOON J SONG |
| Credential | D.D.S. |
| Practice Address |
2242 Camden Ave Suite 101 San Jose CA 95124-2029 |
| Practice Telephone | 4087185837 |
| Practice Fax Number | 4083660602 |
| Mailing Telephone | 4087185837 |
| Mailing Fax Number | 4083660602 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
42002 | CA | Dental Providers |
| Street Address |
2242 CAMDEN AVE SUITE 101 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270620 | Dennis Hwa Hum | Podiatrist | 2242 Camden Ave, Suite 204, San Jose, CA 95124-2029 | 2005-07-29 |
| 1295187060 | Pamela Mehta Md Inc | Orthopaedic Surgery | 2242 Camden Ave, Suite 104, San Jose, CA 95124-2029 | 2016-07-06 |
| 1841623733 | Bay Area Arthritis Care, Inc., A Medical Group | Internal Medicine | 2242 Camden Ave, Suite 203, San Jose, CA 95124-2029 | 2013-08-14 |
| 1629174149 | Helen Feng | Internal Medicine | 2242 Camden Ave, Suite 203, San Jose, CA 95124-2029 | 2006-09-15 |
| 1962494278 | Anne Hughes | Family Medicine | 2242 Camden Ave, Suite 200, San Jose, CA 95124-2029 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
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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.