Jose Vicente Juarez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

53804 Issued in CA

Practice address

2340 Sunrise Blvd Ste 25
Gold River, CA 95670-4369

Phone

(916) 852-8510

NPI assigned

Jun 8, 2007

Last updated

Jan 13, 2023By 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

State licenses

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.

• Jose V. Juarez, D.D.S. Inc.

  dba Smile Kingdom Dental

  • Dentist
  • Gold River, CA
  • NPI 1295133742
  NPD (past) Authorized official
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  dba Kids Care Dental & Orthodontics - Stockton

  • Pediatric Dentistry
  • Stockton, CA
  • NPI 1104264985
  NPD (past)
• Reeves, DMD, Inc

  dba Kids Care Dental Group of Stockton

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1386763852
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1306049093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SUNRISE BLVD STE 25",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704369",
            "telephone_number": "916-852-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SUNRISE BLVD STE 25",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704369",
            "telephone_number": "916-852-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JOSE",
        "middle_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Jantz
• Rachana Jivan, PHARM D
• Kristin Elise Johnson, MSN, RNCS
• Jose V. Juarez, D.D.S. Inc. (Smile Kingdom Dental)
• James Robert Joyce, D.D.S.
• Joseph Thomas Kadic, PHARMACIST
• Lori Dianne Kam, O.D.
• Muskan Khalili
• Jamie Kim, DDS, MS
• Unyong Kim, DDS

• Dentist in Gold River, CA
• Providers in Gold River, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.