Jinky Encarnacion Sacaguing, D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JINKY ENCARNACION SACAGUING, D.D.S. INC.

Practice address

16917 Devonshire St
Granada Hills, CA 91344-7407

Phone

(818) 488-9533

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Jinky Encarnacion Sacaguing, DDS

Title

Ceo

Phone

(818) 488-9533

Specialties & licenses 1

Addresses

Other names 2

• GRANDEUR DENTAL DENTAL OFFICE OF JINKY SACAGUING Doing business as
• Grandeur Dental Doing business as

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1790358125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16917 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447407",
            "telephone_number": "818-488-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16917 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447407",
            "telephone_number": "818-488-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINKY ENCARNACION SACAGUING, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "SACAGUING",
        "authorized_official_first_name": "JINKY",
        "authorized_official_middle_name": "ENCARNACION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-488-9533",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDEUR DENTAL DENTAL OFFICE OF JINKY SACAGUING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRANDEUR DENTAL DENTAL OFFICE OF JINKY SACAGUING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grandeur Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humberto Jimenez
• Melisa Jimenez
• Vivian Jimenez
• Suhyun Jin, CCC-A
• Vardui Jingozian, LMFT
• JMJS LLC
• Michelle Sehee Jo, L.AC.
• Roger W.K. Joe, D.D.S.
• John E. Bosak, Jr., DMD, a Professional Dental Corporation
• Stephanie Johnwell

• General Practice Dentistry in Granada Hills, CA
• Providers in Granada Hills, 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 Oct 15, 2021; 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.