NPIMap

Organization Active NPI

Jacob Thomas Ming DDS Inc

  • Clinic/Center
  • Hayward, CA
National Provider Identifier
1396510574
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JACOB THOMAS MING DDS INC
Practice address
21297 Foothill Blvd Ste 204
Hayward, CA 94541-1554
Phone
(510) 582-1757
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Jacob Thomas Ming, DDS
Title
President
Phone
(510) 582-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21297 Foothill Blvd Ste 204
Hayward, CA 94541-1554

Mailing address

21297 Foothill Blvd Ste 204
Hayward, CA 94541-1554
Phone (510) 582-1757

National Provider Directory

National Provider Directory

Locations

21297 Foothill Blvd
Ste 204
Cherryland, CA 94541
Phone (510) 582-1757

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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1396510574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD STE 204",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411554",
            "telephone_number": "510-582-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD STE 204",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411554",
            "telephone_number": "510-582-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB THOMAS MING DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MING",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-582-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.