Jeppesen Dental Corporation

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

JEPPESEN DENTAL CORPORATION

Practice address

178 S Victoria Ave
Suite D
Ventura, CA 93003-4329

Phone

(805) 644-2270

Fax

(805) 644-2576

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John Jeppesen, DMD

Title

President

Phone

(805) 644-2270

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1306164108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 S VICTORIA AVE",
            "address_2": "SUITE D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034329",
            "telephone_number": "805-644-2270",
            "fax_number": "805-644-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S VICTORIA AVE",
            "address_2": "SUITE D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034329",
            "telephone_number": "805-644-2270",
            "fax_number": "805-644-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPPESEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "JEPPESEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-644-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennings Physical Therapy, a Professional Corporation
• Dana N Jennings, M.D.
• Lia Christine Jennings
• Cindy Chere'E Jensen, MSW
• Heather Danielle Jensen
• John C Jeppesen, DMD
• Jeremy Mast, Licensed Marriage and Family Therapist, Inc.
• Jewish Federation of Ventura County
• Ryan Sunghun Ji, PHARMD
• Jilbert and Puri Dental Corporation

• Sleep Disorder Diagnostic Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.