NPIMap

Organization Active NPI

Jung Nam, DMD MSD Inc

  • Prosthodontics
  • Palo Alto, CA
National Provider Identifier
1205278017
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
JUNG NAM, DMD MSD INC
Practice address
1691 El Camino Real Ste 200
Palo Alto, CA 94306-1054
Phone
(650) 324-1292
Fax
(650) 618-1944
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Dr. Jung Nam, DMD, MSDNPI 1235367509
Title
Prosthodontist
Phone
(650) 324-1292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary
Dental Clinic/Center 261QD0000X 55416 CA

Addresses

Primary practice location

1691 El Camino Real Ste 200
Palo Alto, CA 94306-1054

Mailing address

1691 El Camino Real Ste 200
Palo Alto, CA 94306-1054
Phone (650) 324-1292

Other practice location 1

1848 Saratoga Ave
Suite 6B
Saratoga, CA 95070-6612
Phone (408) 871-1211

Other practice location 2

555 Knowles Dr Ste 218
Los Gatos, CA 95032-1551
Phone (408) 871-1211

National Provider Directory

National Provider Directory

Locations

1848 Saratoga Ave
Bldg 6B
Saratoga, CA 95070
Phone (408) 306-8759

Practitioners & affiliated clinicians

Practitioners 4

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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1205278017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061054",
            "telephone_number": "650-324-1292",
            "fax_number": "650-618-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061054",
            "telephone_number": "650-324-1292",
            "fax_number": "650-618-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1848 Saratoga Ave",
            "address_2": "Suite 6B",
            "address_purpose": "LOCATION",
            "city": "Saratoga",
            "state": "CA",
            "postal_code": "950706612",
            "country_code": "US",
            "telephone_number": "408-871-1211",
            "fax_number": "408-871-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Knowles Dr Ste 218",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321551",
            "country_code": "US",
            "telephone_number": "408-871-1211",
            "fax_number": "408-871-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUNG NAM, DMD MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "650-324-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.