NPIMap

Organization Active NPI

S. Jang DDS Incorporated

Doing business as Smile Time Dental

  • Pediatric Dentistry
  • Auburn, CA
National Provider Identifier
1790295632
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
S. JANG DDS INCORPORATED
Doing business as
Smile Time Dental
Practice address
500 Auburn Folsom Rd Ste 330B
Auburn, CA 95603-5645
Phone
(916) 984-4224
NPI assigned
Oct 5, 2017
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

500 Auburn Folsom Rd Ste 330B
Auburn, CA 95603-5645

Mailing address

2260 E Bidwell St
Suite # 359
Folsom, CA 95630-3555
Phone (916) 781-6550

Other names 1

  • Smile Time Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Jang DDS Incorporated17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

500 Auburn Folsom Rd
Ste 330B
Auburn, CA 95603

2260 E Bidwell St
Ste 359
Folsom, CA 95630

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1790295632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST",
            "address_2": "SUITE # 359",
            "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": "500 AUBURN FOLSOM RD STE 330B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035645",
            "telephone_number": "916-984-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JANG DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Time Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.