Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY CHAM, DDS
Deactivated Sole ProprietorJIMMY CHAM, DDS is a General Dentistry healthcare provider located in SAN JOSE, California. NPI 1164429916 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · SAN JOSE, CA
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164429916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (0.7041095890411 yrs)
- Last Updated
- Mar 16, 2020
- Deactivated
- Mar 21, 2006
- License
-
37088 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2139 TULLY RDSAN JOSE, CA, 951221346Browse CA providers · Browse ZIP 95122
- Phone
- 4082595660
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| PAMELA NOMURA | DDS | 1134122815 |
| DR. JOHN STEPHEN CUPPLES | DDS | 1275536187 |
| DR. DOUGLAS W VIERRA | D.D.S. | 1154326270 |
| DR. LANCHI PHAM | D.D.S | 1083610067 |
| DR. STEPHANIE B LOLLER | DDS | 1316943954 |
| DR. JOLLY SHAH | DDS | 1063412054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.