Active NPI
Jack Clayton Oates, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sacramento, CA
National Provider Identifier
1548449960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS025067
- Practice address
- 2805 J St
Suite 220
Sacramento, CA 95816-4307 - Phone
- (916) 444-7844
- Fax
- (916) 444-9844
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS025067 | CA | Primary |
Addresses
Primary practice location
2805 J St
Suite 220
Sacramento, CA 95816-4307
Mailing address
2805 J St
Suite 220
Sacramento, CA 95816-4307
Phone (916) 444-7844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025067 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1548449960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 J ST",
"address_2": "SUITE 220",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164307",
"telephone_number": "916-444-7844",
"fax_number": "916-444-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 J ST",
"address_2": "SUITE 220",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164307",
"telephone_number": "916-444-7844",
"fax_number": "916-444-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OATES",
"first_name": "JACK",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DS025067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Tyler Christian Oakes, AUD.
- Oasis Health and Wellness Center, Inc.
- Oasis of Wellness Mental Health Nursing Corporation
- Oasis Weight Loss
- Carmen Maria Rojas Oates, CD(DONA)
- Kirstin R Oaxaca, DC
- Freshta Obaidi, MD
- Lucy B Oberg, CADC I
- Obesity Treatment Center, a Medical Corporation
- Tiffany-Amber Obika
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.