Organization Active NPI

Dr. Jiachang Zhang, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Encinitas, CA
National Provider Identifier
1124585773
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DR. JIACHANG ZHANG, INC.
Practice address
511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781
Phone
(760) 392-1279
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Jiachang ZhangNPI 1578649604
Title
Doctor
Phone
(760) 392-1279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781

Mailing address

511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781

National Provider Directory

National Provider Directory

Locations

511 Encinitas Blvd
Ste 118
Encinitas, CA 92024
Phone (760) 392-1279

19682 Hesperian Blvd
Ste 106
Hayward Acres, CA 94541
Phone (510) 252-4003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1124585773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ENCINITAS BLVD STE 118",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ENCINITAS BLVD STE 118",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243781",
            "telephone_number": "760-392-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JIACHANG ZHANG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "JIACHANG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-392-1279"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.