Jackie Dong DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JACKIE DONG DDS INC.

Doing business as

Oakland Dental Associates

Practice address

2648 International Blvd Ste 602
Oakland, CA 94601-1547

Phone

(917) 650-6820

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Jackie Dong, DDSNPI 1770253585

Title

Ceo

Phone

(917) 650-6820

Specialties & licenses 1

Addresses

Other names 1

• Oakland Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackie Dong, DDS

  • Dentist
  • Oakland, CA
  • NPI 1770253585
  NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1649963273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 602",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 602",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011547",
            "telephone_number": "917-650-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE DONG DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-650-6820",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakland Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J.T. Vo Chiropractic, Inc.
• Basma Jaber
• Averylia Jacintha
• Lizeth Jacinto
• Jack H. Stehr, M.D., Professional Corporation
• Tenaya Jackman, L.M.
• Debra F Jacks, RAS
• Ceasar Jackson III
• Aaron J Jackson II
• Alexander Enacio Jackson, LCSW

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.