Individual provider Active NPI

Debbie Jang, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oceanside, CA
National Provider Identifier
1750807822
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
107424 Issued in CA
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

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322001579 CA Order and Referring Only - DentistPractitioner - Dentist 3678947272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107424CAMDSocial Worker
6950NVMDDentist
061750NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
D Jang DMD Inc Dentist Current Accepting new patients
Judge and Sharifian Dental Corporation PastSince Nov 27, 2022 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.

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

Verify at the official NPI Registry.