NPIMap

Organization Active NPI

S. Jang DDS Incorporated

Doing business as Smile Time Dental

  • Dentist
  • Folsom, CA
National Provider Identifier
1205226875
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57611 Issued in CA
Legal business name
S. JANG DDS INCORPORATED
Doing business as
Smile Time Dental
Practice address
2260 E Bidwell St
# 110
Folsom, CA 95630-3463
Phone
(916) 984-4224
Fax
(916) 984-4248
NPI assigned
Feb 3, 2015
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Megan Castillo
Title
Operations Manager
Phone
(916) 781-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57611 CA Primary

Addresses

Primary practice location

2260 E Bidwell St
# 110
Folsom, CA 95630-3463

Mailing address

2260 E Bidwell St
# 351
Folsom, CA 95630-3463
Phone (916) 781-6550

Other names 1

  • Smile Time Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Jang DDS Incorporated17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2260 E Bidwell St
#351
Folsom, CA 95630

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1205226875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST",
            "address_2": "# 351",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-781-6550",
            "fax_number": "916-984-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST",
            "address_2": "# 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-984-4224",
            "fax_number": "916-984-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JANG DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Time Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Time Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.