Jergensen Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59484 Issued in CA

Legal business name

JERGENSEN DENTAL PC

Practice address

24 Alexander St
Watsonville, CA 95076-4609

Phone

(831) 728-0232

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Ryan Jergensen

Title

DDS

Phone

(510) 413-8413

Specialties & licenses 1

Addresses

Tax ID family

Jergensen Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jergensen Dental PC

  • Dentist
  • Rodeo, CA
  • NPI 1952798878
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jergensen Dental PC

  • Dentist
  • Rodeo, CA
  • NPI 1952798878
  NPPES parent name

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1225458714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ALEXANDER ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764609",
            "telephone_number": "831-728-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ALEXANDER ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764609",
            "telephone_number": "831-728-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERGENSEN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "JERGENSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "510-413-8413"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L Cook DDS Inc
• Christopher D. Jaspers, MS, MA, MAT, BCBA
• Lisa Jene Jenkins, MD
• Donna Jensen Lewis, MA, LMFT
• Erin K Jensen, PT
• Jennifer Jewell, RNC,NP
• Ana Veronica Jimenez
• Angelica Zambrano Jimenez
• Luis Jimenez
• Jo-Mar Laboratory & Marketing Corp.

• General Practice Dentistry in Watsonville, CA
• Providers in Watsonville, 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 23, 2014; 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.