Nicolaus Richard Kangas Jungman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103213 Issued in CA

Practice address

500 W El Norte Pkwy
Escondido, CA 92026-3983

Phone

(760) 489-5825

NPI assigned

Apr 1, 2018

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1053817932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "760-936-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "760-489-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGMAN",
        "first_name": "NICOLAUS",
        "middle_name": "RICHARD KANGAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian a Wade DDS Inc (NC Family Dental)
• Hannah Julius, PA
• Virginia Julsonprimmer
• Lindsay Angelica Jung
• Jungman & Kangas DDS Inc (Citracado Dental Group)
• Robert Jungman, DDS
• William R Jungman, D.D.S.
• Russell Scott Kaczmar, PT, DPT
• Mark Leland Kadden, M.D.
• Yale Mitchell Kadesky, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.