NPIMap

Organization Active NPI

A Jhang DDS Inc

Doing business as Associated Dental Practice

  • Dentist
  • Stockton, CA
National Provider Identifier
1508977760
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42664 Issued in CA
Legal business name
A JHANG DDS INC
Doing business as
Associated Dental Practice
Practice address
4534 Precissi LN Ste a
Stockton, CA 95207-6213
Phone
(209) 957-8940
Fax
(209) 957-7990
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Alexander Kisam Jhang, D.D.S.NPI 1255462339
Title
Ceo
Phone
(916) 205-7074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42664 CA Primary

Addresses

Primary practice location

4534 Precissi LN Ste a
Stockton, CA 95207-6213

Mailing address

4534 Precissi LN Ste a
Stockton, CA 95207-6213
Phone (209) 957-8940

Other names 1

  • Associated Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

4534 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 957-8940

Practitioners & affiliated clinicians

Practitioners 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508977760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 PRECISSI LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076213",
            "telephone_number": "209-957-8940",
            "fax_number": "209-957-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 PRECISSI LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076213",
            "telephone_number": "209-957-8940",
            "fax_number": "209-957-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A JHANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JHANG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "KISAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-205-7074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.