Robert Jungman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61808 Issued in CA

Practice address

500 W El Norte Pkwy
Escondido, CA 92026-3983

Phone

(760) 489-5545

NPI assigned

Sep 13, 2012

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citracado Dental Group

  • Dentist
  • Escondido, CA
  • NPI 1770148728

  General Practice

  NPD (past) Authorized official
• Jungman & Kangas DDS Inc

  dba Citracado Dental Group

  • Dentist
  • Escondido, CA
  • NPI 1881811909
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1902156367",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Julius, PA
• Virginia Julsonprimmer
• Lindsay Angelica Jung
• Jungman & Kangas DDS Inc (Citracado Dental Group)
• Nicolaus Richard Kangas Jungman, DDS
• William R Jungman, D.D.S.
• Russell Scott Kaczmar, PT, DPT
• Mark Leland Kadden, M.D.
• Yale Mitchell Kadesky, M.D.
• Prabhpreet S Kaila, D.D.S.

• General Practice Dentistry in Escondido, CA
• Providers in Escondido, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.