NPIMap

Organization Active NPI

Jacobson Dental Corp

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1407609126
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACOBSON DENTAL CORP
Practice address
1230 Churn Creek Rd Ste 100
Redding, CA 96003-4033
Phone
(530) 738-2090
Fax
(844) 534-8464
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Kushboo Kumar
Title
Am
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1230 Churn Creek Rd Ste 100
Redding, CA 96003-4033

Mailing address

325 S Higley Rd Ste 130
Gilbert, AZ 85296-4703
Phone (916) 877-7450

Other names 1

  • Children's Choice Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Jeffrey a Saladin Dental Corporation30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

1230 Churn Creek Rd
Ste 100
Redding, CA 96003
Phone (530) 738-2090

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1407609126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGLEY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964703",
            "telephone_number": "916-877-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CHURN CREEK RD STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034033",
            "telephone_number": "530-738-2090",
            "fax_number": "844-534-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KUSHBOO",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Choice Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.