Active NPI
Debbie Jang, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 107424
- Practice address
- 2484 Vista Way Ste B
Oceanside, CA 92054-5682 - Phone
- (760) 439-0334
- NPI assigned
- Aug 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6950 | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 061750 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 107424 | CA | Primary |
Addresses
Primary practice location
2484 Vista Way Ste B
Oceanside, CA 92054-5682
Mailing address
1440 Columbia St Apt 1002
San Diego, CA 92101-3470
Phone (702) 956-1738
Other practice location 1
6127 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-3256
Phone (702) 998-2237
Other practice location 2
1471 Dekalb Ave Fl 3
Brooklyn, NY 11237-3895
Phone (817) 443-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322001579 | CA | Order and Referring Only - Dentist | 3678947272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107424 | CA | MD | Social Worker |
| 6950 | NV | MD | Dentist |
| 061750 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D Jang DMD Inc | Dentist | Current | Accepting new patients |
| Judge and Sharifian Dental Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Junis Pediatric Dentistry & Orthodontist
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
- NPI 1548159056
-
dba South Oceanside Dental Group and Orthodontics
- General Practice Dentistry
- Oceanside, CA
- NPI 1083709851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669420800000",
"number": "1750807822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 COLUMBIA ST APT 1002",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013470",
"telephone_number": "702-956-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 VISTA WAY STE B",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545682",
"telephone_number": "760-439-0334"
}
],
"practiceLocations": [
{
"address_1": "6127 S Rainbow Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891183256",
"country_code": "US",
"telephone_number": "702-998-2237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1471 Dekalb Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112373895",
"country_code": "US",
"telephone_number": "817-443-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANG",
"first_name": "DEBBIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2022-11-26",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6950",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "061750",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "107424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.