JLL Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

63228 Issued in CA

Legal business name

JLL DENTAL INC

Practice address

217 W Los Angeles Ave
Moorpark, CA 93021-1867

Phone

(805) 529-0100

Fax

(805) 529-0102

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Jacobi LudwigNPI 1043370414

Title

Ceo

Phone

(805) 529-0100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacobi Lazar Ludwig, DDS

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1043370414
  NPD (past) Authorized official

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1285037002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211867",
            "telephone_number": "805-529-0100",
            "fax_number": "805-529-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211867",
            "telephone_number": "805-529-0100",
            "fax_number": "805-529-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLL DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "JACOBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-529-0100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Jacobson, PMHNP
• Paul Hojin Jang, D.D.S.
• Amanda Janikowski, PPS
• Jedediah Huss Dental Corporation
• Steven Jerrems
• Shannon Johnson, MSPT
• Amy Elizabeth Jones, MD
• David Jones
• Karissa Jones, D.P.T.
• Marc Warren Judd, M.D.

• All providers in Moorpark, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.