Organization Active NPI

Edward Jang DDS Inc

  • Dental Clinic/Center
  • Pinole, CA
National Provider Identifier
1508323460
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EDWARD JANG DDS INC
Practice address
2000 Appian Way Ste 201
Pinole, CA 94564-2525
Phone
(510) 724-8555
Fax
(510) 724-3555
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Delia Quintero
Title
Office Manager
Phone
(510) 724-8555

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Appian Way Ste 201
Pinole, CA 94564-2525

Mailing address

2000 Appian Way Ste 201
Pinole, CA 94564-2525
Phone (510) 724-8555

National Provider Directory

National Provider Directory

Locations

2000 Appian Way
Ste 201
Pinole, CA 94564
Phone (510) 724-8555

Practitioners & affiliated clinicians

Practitioners 2

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": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1508323460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 APPIAN WAY STE 201",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642525",
            "telephone_number": "510-724-8555",
            "fax_number": "510-724-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 APPIAN WAY STE 201",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642525",
            "telephone_number": "510-724-8555",
            "fax_number": "510-724-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD JANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-724-8555"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.