Nicholas S. Jaksic, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

38058 Issued in CA

Legal business name

NICHOLAS S. JAKSIC, DDS, INC.

Practice address

1360 W 6TH St Ste 285
San Pedro, CA 90732-3558

Phone

(310) 832-1181

Fax

(310) 832-3722

NPI assigned

Nov 19, 2008

Last updated

Nov 19, 2008By 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

Dr. Nicholas Stephen Jaksic, DDSNPI 1285656645

Title

President

Phone

(310) 832-1181

Specialties & licenses 1

Addresses

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.

• Nicholas Stephen Jaksic, DDS

  • General Practice Dentistry
  • San Pedro, CA
  • NPI 1285656645
  NPD (past) Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1891940722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 285",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323558",
            "telephone_number": "310-832-1181",
            "fax_number": "310-832-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 285",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323558",
            "telephone_number": "310-832-1181",
            "fax_number": "310-832-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS S. JAKSIC, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "JAKSIC",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-832-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silverton Nguyen, PT
• Son Lam Nguyen, D.C, L.AC
• Tuan Hoang Nguyen, PHARM.D
• Victoria Nguyen, PHARMD
• Charmaine Ni
• Matthew Nickle
• Nicol Lippman, MD, Inc.
• Vanessa Ann Nicolas, CNM, RN
• Zach Nilsson
• Nimsha Thaver, D.O PC

• Dentist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.