Individual provider Active NPI

Daye Jang

  • Dental Assistant
  • Garden Grove, CA
National Provider Identifier
1346786944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
86035 Issued in CA
Practice address
9872 Chapman Ave Ste 102
Garden Grove, CA 92841-2718
Phone
(714) 539-8947
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 86035 CA Primary

Addresses

Primary practice location

9872 Chapman Ave Ste 102
Garden Grove, CA 92841-2718

Mailing address

9872 Chapman Ave Ste 102
Garden Grove, CA 92841
Phone (714) 539-8947

Other practice location 1

13538 1/4 Village Dr
Cerritos, CA 90703-2365
Phone (213) 568-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86035CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346786944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92841",
            "telephone_number": "714-539-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412718",
            "telephone_number": "714-539-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13538 1/4 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032365",
            "country_code": "US",
            "telephone_number": "213-568-9681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "DAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "86035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.