Individual provider Active NPI

Esther Jahng, RDH

  • Dental Hygienist
  • Fountain Valley, CA
National Provider Identifier
1376980102
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
16163 Issued in CA
Practice address
17598 Waterton St
Fountain Valley, CA 92708-4840
Phone
(714) 376-4050
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 16163 CA Primary

Addresses

Primary practice location

17598 Waterton St
Fountain Valley, CA 92708-4840

Mailing address

17598 Waterton St
Fountain Valley, CA 92708-4840
Phone (714) 376-4050

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

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1376980102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17598 WATERTON ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084840",
            "telephone_number": "714-376-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17598 WATERTON ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084840",
            "telephone_number": "714-376-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNG",
        "first_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.