J Dang Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J DANG DENTAL

Doing business as

Broadway Dental

Practice address

727 E Broadway
Glendale, CA 91205-1103

Phone

(818) 240-5888

Fax

(818) 240-5461

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Dang, DMD

Title

Ceo

Phone

(818) 240-5888

Specialties & licenses 1

Addresses

Other names 1

• Broadway Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Hwa Kim, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1134368483
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1801457254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051103",
            "telephone_number": "818-240-5888",
            "fax_number": "818-240-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051103",
            "telephone_number": "818-240-5888",
            "fax_number": "818-240-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DANG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-240-5888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Medical Clinic Inc
• Charise Leanne Ivy, M.D.
• Kathryn S Iwata, M.D.
• Sujata Prashant Iyer, M.D.
• Judith Sano Izumi, N.P.
• J.Bowen: a Corporation of Licensed Clinical Social Workers (ClockWise Counseling Services)
• J.H.S. Medical Center, Inc. (Jack Sarkisian)
• J.Ting Medical Corporation
• Emily Jabourian
• Russel R Jacinto, D.M.D.

• Dental Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.