Organization Active NPI

Jane Jiao, DDS, MMSC Inc

  • Dental Clinic/Center
  • Vallejo, CA
National Provider Identifier
1831961978
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Oct 23, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.