NPIMap

Organization Active NPI

Jacquelyn DO DDS Inc.

Doing business as Sunny Smiles Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Del Mar, CA
National Provider Identifier
1588227185
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JACQUELYN DO DDS INC.
Doing business as
Sunny Smiles Kids Pediatric Dentistry
Practice address
12835 Pointe del Mar Way Ste 2
Del Mar, CA 92014-3846
Phone
(858) 755-0050
Fax
(858) 755-0059
NPI assigned
Apr 18, 2019
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Dr. Jacquelyn DONPI 1447475413
Title
Principal
Phone
(858) 755-0050

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

12835 Pointe del Mar Way Ste 2
Del Mar, CA 92014-3846

Mailing address

12835 Pointe del Mar Way Ste 2
Del Mar, CA 92014-3846
Phone (858) 755-0050

Other names 1

  • Sunny Smiles Kids Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12835 Pointe del Mar Way
Ste 2
Del Mar, CA 92014
Phone (858) 755-0050

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.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1588227185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 POINTE DEL MAR WAY STE 2",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143846",
            "telephone_number": "858-755-0050",
            "fax_number": "858-755-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 POINTE DEL MAR WAY STE 2",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143846",
            "telephone_number": "858-755-0050",
            "fax_number": "858-755-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN DO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "858-755-0050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Smiles Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunny Smiles Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.