Alan Wilson Jarjour, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112332 Issued in CA

Practice address

29655 The Old Rd
Castaic, CA 91384-4570

Phone

(661) 702-8338

NPI assigned

Sep 4, 2025

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Bryan Watanabe DDS Dental Corporation

  dba Hasley Canyon Dental Group

  • General Practice Dentistry
  • Castaic, CA
  • NPI 1518059377
  NPD (past)
• Easley Dental Corporation

  dba Sierra Commons Dental Group

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1669536678
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1295615920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 MOORPARK ST APT 117",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29655 THE OLD RD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913844570",
            "telephone_number": "661-702-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 W Rancho Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513735",
            "country_code": "US",
            "telephone_number": "661-265-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARJOUR",
        "first_name": "ALAN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Herrera, NP, RN
• Queenie Hill, RD
• Enitan C. Ibrahim, DDS
• Breanne Jagiello, M.S., BCBA
• James a. Uhrik, D.D.S., Inc. (Castaic Dental Center)
• Kristen Janelle Jensen, M.S., BCBA
• JMT First Assists
• Young M Kang
• Anne Mugi Kariuki
• Rod L Kaufman, DC

• General Practice Dentistry in Castaic, CA
• Providers in Castaic, 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 Sep 4, 2025; 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.