NPIMap

Organization Active NPI

Jasmine Gill Dental Corp

  • Dental Clinic/Center
  • Placentia, CA
National Provider Identifier
1144065269
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASMINE GILL DENTAL CORP
Practice address
1440 N Kraemer Blvd
Placentia, CA 92870-3406
Phone
(714) 993-9183
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Jasmine GillNPI 1417138835
Title
Owner
Phone
(714) 993-9183

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1440 N Kraemer Blvd
Placentia, CA 92870-3406

Mailing address

1440 N Kraemer Blvd
Placentia, CA 92870-3406
Phone (714) 993-9183

Other names 1

  • Bright Placentia Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1440 N Kraemer Blvd
Placentia, CA 92870
Phone (714) 993-9183

Practitioners & affiliated clinicians

Practitioners 1

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": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1144065269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703406",
            "telephone_number": "714-993-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703406",
            "telephone_number": "714-993-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE GILL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-993-9183"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Placentia Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.