Individual provider Active NPI

Katherine Pimentel Llaguno-Jingco, D.D.S.

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1083882369
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55739 Issued in CA
Practice address
16311 Ventura Blvd Ste 870
Encino, CA 91436
Phone
(818) 986-9112
Fax
(818) 986-9348
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55739 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd Ste 870
Encino, CA 91436

Mailing address

16311 Ventura Blvd Ste 870
Encino, CA 91436-4334
Phone (818) 986-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55739CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Katherine Llaguno-Jingco Dental Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kllaguno@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1083882369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 870",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364334",
            "telephone_number": "818-986-9112",
            "fax_number": "818-986-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 870",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-986-9112",
            "fax_number": "818-986-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAGUNO-JINGCO",
        "first_name": "KATHERINE",
        "middle_name": "PIMENTEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.