NPIMap

Organization Active NPI

Jungman & Kangas DDS Inc

Doing business as Citracado Dental Group

  • Dentist
  • Escondido, CA
National Provider Identifier
1881811909
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28727 Issued in CA
Legal business name
JUNGMAN & KANGAS DDS INC
Doing business as
Citracado Dental Group
Practice address
500 W El Norte Pkwy
Escondido, CA 92026-3983
Phone
(760) 489-5545
Fax
(760) 489-5546
NPI assigned
Apr 19, 2007
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
William R Jungman, D.D.S.NPI 1265653828
Title
Owner
Phone
(760) 489-5545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 28727 CA Primary

Addresses

Primary practice location

500 W El Norte Pkwy
Escondido, CA 92026-3983

Mailing address

500 W El Norte Pkwy
Escondido, CA 92026-3983
Phone (760) 489-5545

Other names 1

  • Citracado Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

500 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 489-5545

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1881811909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "760-489-5545",
            "fax_number": "760-489-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "760-489-5545",
            "fax_number": "760-489-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGMAN & KANGAS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "JUNGMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-489-5545",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citracado Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.