Active NPI
Jane Jiao, DDS, MMSC Inc
- Dental Clinic/Center
- Vallejo, CA
National Provider Identifier
1831961978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JANE JIAO, DDS, MMSC INC
- Practice address
- 2121 Redwood St Ste C
Vallejo, CA 94590-3603 - Phone
- (707) 648-3600
- NPI assigned
- Oct 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Jiao, DDS, MMSC
- Title
- President
- Phone
- (650) 888-9883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2121 Redwood St Ste C
Vallejo, CA 94590-3603
Mailing address
2121 Redwood St Ste C
Vallejo, CA 94590-3603
Phone (707) 648-3600
National Provider Directory
National Provider DirectoryLocations
2121 Redwood St
Ste C
Vallejo, CA 94590
Phone (707) 648-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1831961978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 REDWOOD ST STE C",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945903603",
"telephone_number": "707-648-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 REDWOOD ST STE C",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945903603",
"telephone_number": "707-648-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE JIAO, DDS, MMSC INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "JIAO",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-888-9883",
"authorized_official_credential": "DDS, MMSC"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.