Organization Active NPI

Jason Oh D.D.S. Inc.

Doing business as AV Sierra Dental Center

  • Dental Clinic/Center
  • Palmdale, CA
National Provider Identifier
1427245091
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53091 Issued in CA
Legal business name
JASON OH D.D.S. INC.
Doing business as
AV Sierra Dental Center
Practice address
38427 20TH St E
Palmdale, CA 93550-4034
Phone
(661) 273-3600
Fax
(661) 273-3760
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Jason Jaesong Oh, D.D.S.NPI 1598884389
Title
Owner
Phone
(661) 273-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53091 CA Primary

Addresses

Primary practice location

38427 20TH St E
Palmdale, CA 93550-4034

Mailing address

38427 20TH St E
Palmdale, CA 93550-4034
Phone (661) 273-3600

Other names 1

  • AV Sierra Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

38427 20th St E
Palmdale, CA 93550
Phone (323) 597-1712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1427245091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38427 20TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504034",
            "telephone_number": "661-273-3600",
            "fax_number": "661-273-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38427 20TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504034",
            "telephone_number": "661-273-3600",
            "fax_number": "661-273-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON OH D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JAESONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-273-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AV Sierra Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.