William Clarence Jaques, D.D.S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19097 Issued in CA

Practice address

6805 Quail Hill Pkwy
Irvine, CA 92603-4234

Phone

(949) 823-0006

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr.Man's QH Dental Office, Inc.

  dba QH Dental

  • Dental Clinic/Center
  • Irvine, CA
  • NPI 1891333795
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1215371729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 QUAIL HILL PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034234",
            "telephone_number": "949-823-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 QUAIL HILL PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034234",
            "telephone_number": "949-823-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUES",
        "first_name": "WILLIAM",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Y. Park-Kim, D.D.S., Inc. (Northpark Dental)
• Pawel Patryk Jankowski, M.D.
• Heather Jansen Battles
• Cindy B Jansen, CNP
• Joselynne Yvette Jaques, M.SC., S-LP (CCC)
• Anthony Jaramillo
• Brianna Jaramillo
• Vanessa Jaramillo
• Roopam Jariwal, MD
• Leslie Jarquin

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.