Jan Odell DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

39059 Issued in CA

Legal business name

JAN ODELL DDS INC

Practice address

27462 Calle Arroyo
Suite 46B
San Juan Capistrano, CA 92675

Phone

(949) 443-9533

Fax

(949) 443-6123

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Josanne M Odell, DDS

Title

President

Phone

(949) 443-9533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1336150606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27462 CALLE ARROYO",
            "address_2": "SUITE 46B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-443-9533",
            "fax_number": "949-443-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27462 CALLE ARROYO",
            "address_2": "SUITE 46B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-443-9533",
            "fax_number": "949-443-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN ODELL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "JOSANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-443-9533",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.