Jacob Chae, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS103582 Issued in CA

Practice address

29700 Rancho California Rd Ste G5
Temecula, CA 92591-5293

Phone

(951) 693-9595

NPI assigned

Apr 13, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacob Chae DMD Inc

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1578247037
  NPD Authorized official
• JW Jacob Chae DMD Inc

  • General Practice Dentistry
  • La Mirada, CA
  • NPI 1780412890
  NPD Authorized official
• Won H Park DDS Inc

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1588863526
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1033476148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29700 RANCHO CALIFORNIA RD STE G5",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915293",
            "telephone_number": "951-693-9595",
            "fax_number": "951-693-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29700 RANCHO CALIFORNIA RD STE G5",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915293",
            "telephone_number": "951-693-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "JACOB",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038948",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103582",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Cervino, D.C.
• Cesar Z Mamani-Cancino DDS Inc
• CF Senior Services
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• CGC Sleep Lab LLC
• Nicole Danielle Chagolla
• Indraneel Chakrabarty, M.D.
• Krishnan Vijayaraghavan Chakravarthy, M.D., PH.D.
• Abigail Chamberlain, DO
• Alison Chan

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.