Organization Active NPI

S.Y.Y Jang DDS Corp

Doing business as Kids Dentist Plus

  • Dentist
  • Auburn, CA
National Provider Identifier
1215427943
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
S.Y.Y JANG DDS CORP
Doing business as
Kids Dentist Plus
Practice address
500 Auburn Folsom Rd Ste 330C
Auburn, CA 95603-5645
Phone
(916) 226-6767
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

500 Auburn Folsom Rd Ste 330C
Auburn, CA 95603-5645

Mailing address

2260 E Bidwell St # 403
Folsom, CA 95630-3555

Other names 1

  • Kids Dentist Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids Dentist Plus14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

500 Auburn Folsom Rd
Ste 330C
Auburn, CA 95603

2260 E Bidwell St
#403
Folsom, CA 95630

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1215427943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST # 403",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AUBURN FOLSOM RD STE 330C",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035645",
            "telephone_number": "916-226-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.Y.Y JANG DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dentist Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.