Organization Active NPI

Jane Jiao, DDS Inc

  • Dentist
  • Moraga, CA
National Provider Identifier
1386352458
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JANE JIAO, DDS INC
Doing business as
Moraga Dentistry
Practice address
1030 Country Club Dr Ste F
Moraga, CA 94556-1950
Phone
(925) 376-4602
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Jane Jiao
Title
President
Phone
(925) 376-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1030 Country Club Dr Ste F
Moraga, CA 94556-1950

Mailing address

1030 Country Club Dr Ste F
Moraga, CA 94556-1950
Phone (925) 376-4602

Other names 1

  • Moraga Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1030 Country Club Dr
Ste F
Moraga, CA 94556
Phone (925) 376-4602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1386352458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COUNTRY CLUB DR STE F",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561950",
            "telephone_number": "925-376-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTRY CLUB DR STE F",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561950",
            "telephone_number": "925-376-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE JIAO, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "JIAO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-376-4602"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moraga Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moraga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.