Kenneth Jang DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60901 Issued in CA

Legal business name

KENNETH JANG DDS, INC.

Doing business as

La Contenta Dental

Practice address

1919 Vista del Lago Dr
#11
Valley Springs, CA 95252-9294

Phone

(209) 772-0375

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Kenneth Jang, D.D.S.NPI 1508137340

Title

President

Phone

(909) 553-8390

Specialties & licenses 1

Addresses

Other names 1

• La Contenta Dental 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.

• Kenneth Jang, D.D.S.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1508137340
  NPD (past) Authorized official

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1710396908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 CRYSTAL WALK CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588081",
            "telephone_number": "909-553-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 VISTA DEL LAGO DR",
            "address_2": "#11",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529294",
            "telephone_number": "209-772-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH JANG DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-553-8390",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Contenta Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Gail Horst
• Emily McClintic Jacobs, LCSW
• James B. Duhamel, DDS, Inc
• James B. Duhamel, Dental Corporation
• Kaitlin Jensen, DPT
• Tanya Annette Kiernan, LMFT
• Jennifer Lamberts, BT
• Amanda G Leonard, NCMMT
• Gilbert C Leu, RPH
• Zariah Iman Lewis, PHARMD

• General Practice Dentistry in Valley Springs, CA
• Providers in Valley Springs, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.