Active NPI
Jason Oh D.D.S. Inc.
Doing business as AV Sierra Dental Center
- Dental Clinic/Center
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 53091
- 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, 2007
- 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
- Dr. Jason Jaesong Oh, D.D.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Palmdale, CA
- NPI 1598884389
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.