NPIMap

Organization Active NPI

Jae Y Jang DMD LLC

  • Dental Clinic/Center
  • Rockville, MD
National Provider Identifier
1659038503
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAE Y JANG DMD LLC
Practice address
9601 Blackwell Rd Ste 310
Rockville, MD 20850-3472
Phone
(240) 428-7311
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Jae Yeon Jang, DMDNPI 1275989220
Title
Owner
Phone
(240) 428-7311

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9601 Blackwell Rd Ste 310
Rockville, MD 20850-3472

Mailing address

7710 Woodmont Ave Apt 1208
Bethesda, MD 20814-6090

Other names 1

  • Project Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9601 Blackwell Rd
Ste 310
Rockville, MD 20850
Phone (240) 428-7311

Practitioners & affiliated clinicians

Practitioners 3

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": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1659038503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 WOODMONT AVE APT 1208",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "240-428-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE Y JANG DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "JAE YEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-428-7311",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.