JW Jacob Chae DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JW JACOB CHAE DMD INC

Practice address

15862 Imperial Hwy
La Mirada, CA 90638-2512

Phone

(213) 705-3811

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Jacob ChaeNPI 1033476148

Title

Ceo/Dentist

Phone

(213) 705-3811

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Chae, DMD

  • Dentist
  • Temecula, CA
  • NPI 1033476148

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1780412890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15862 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382512",
            "telephone_number": "213-705-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15862 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382512",
            "telephone_number": "213-705-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW JACOB CHAE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "213-705-3811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Net, Inc. Dba Purejoy 1
• Ruth Antoinette Johnson, MS
• Joon Woo Sohn, DMD, PC
• JSRK Healthcare LLC
• Dong Min Jung, RDH
• Myrtle MC Intosh Kalugin
• Ji Kang, L.AC.
• Angela Kay Kasprzak, AMFT
• Christopher G Katcherian, MD
• Sugra Shiraz Kathiriya, M.D.

• General Practice Dentistry in La Mirada, CA
• Providers in La Mirada, 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 12, 2024; 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.