NPIMap

Organization Active NPI

S. Jang DDS Incorporated

Doing business as Smile Time Dental

  • Dentist
  • Sacramento, CA
National Provider Identifier
1447634373
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57611 Issued in CA
Legal business name
S. JANG DDS INCORPORATED
Doing business as
Smile Time Dental
Practice address
7227 29TH St
Sacramento, CA 95822-5005
Phone
(916) 984-4224
Fax
(916) 984-4248
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Megan Poole
Title
Operations Manager
Phone
(916) 781-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57611 CA Primary

Addresses

Primary practice location

7227 29TH St
Sacramento, CA 95822-5005

Mailing address

2260 E Bidwell St
# 359
Folsom, CA 95630-3463
Phone (916) 984-4224

Other names 1

  • Smile Time Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Jang DDS Incorporated17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

2260 E Bidwell St
#359
Folsom, CA 95630

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1447634373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST",
            "address_2": "# 359",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-984-4224",
            "fax_number": "916-984-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225005",
            "telephone_number": "916-984-4224",
            "fax_number": "916-984-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JANG DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Time Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.