Active NPI
S.Y. Jang DDS Corporatiom
Doing business as Make A Smile
- Pediatric Dentistry
- Lincoln, CA
National Provider Identifier
1386034080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 57611
- Legal business name
- S.Y. JANG DDS CORPORATIOM
- Doing business as
- Make A Smile
- Practice address
- 731 Sterling Pkwy
# 100
Lincoln, CA 95648-7306 - Phone
- (916) 644-0833
- Fax
- (916) 983-9012
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Poole
- Title
- Operations Manager
- Phone
- (916) 781-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 57611 | CA | Primary |
Addresses
Primary practice location
731 Sterling Pkwy
# 100
Lincoln, CA 95648-7306
Mailing address
2260 E Bidwell St
# 318
Folsom, CA 95630-3463
Phone (916) 781-6550
Other names 1
- Make A Smile
National Provider Directory
National Provider Directory- Tax ID family
- Make a Smile
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2260 E Bidwell St
#318
Folsom, CA 95630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1386034080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 E BIDWELL ST",
"address_2": "# 318",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303463",
"telephone_number": "916-781-6550",
"fax_number": "916-983-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 STERLING PKWY",
"address_2": "# 100",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956487306",
"telephone_number": "916-644-0833",
"fax_number": "916-983-9012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.Y. JANG DDS CORPORATIOM",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "POOLE",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "916-781-6550"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "57611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Make A Smile",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lincoln, CA
- Martha Ruiz Coffelt I, RDHAP
- Marina Kiilani Ruppert, LCSW
- Marsha M. Rusby, L.M.F.T.
- Seraphim Shameera Russel-Fisher, MD
- S. Jang DDS Incorporated (Smile Time Dental)
- S.Y.Y Jang DDS Corp (Kids Dentist Plus)
- Sacramento Rehabilitation Solutions Inc
- Safeway Inc (Safeway Pharmacy #1761)
- Farzad Saffari, PHARM.D.
- Sakina Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.