Organization Active NPI

S.Y.Y Jang DDS Corp

Doing business as Kids Dentist Plus

  • Dentist
  • Sacramento, CA
National Provider Identifier
1659860690
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
S.Y.Y JANG DDS CORP
Doing business as
Kids Dentist Plus
Practice address
3433 Arden Way Ste C
Sacramento, CA 95825-2018
Phone
(916) 221-3116
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Megan Castillo
Title
Manager
Phone
(916) 781-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3433 Arden Way Ste C
Sacramento, CA 95825-2018

Mailing address

2260 E Bidwell St Ste 407
Folsom, CA 95630-3555
Phone (916) 781-6550

Other names 1

  • Kids Dentist Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids Dentist Plus14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2260 E Bidwell St
Ste 407
Folsom, CA 95630

3433 Arden Way
Ste C
Sacramento, CA 95825
Phone (916) 221-3116

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1659860690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST STE 407",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303555",
            "telephone_number": "916-781-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 ARDEN WAY STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252018",
            "telephone_number": "916-221-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.Y.Y JANG DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dentist Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.