NPIMap

Organization Active NPI

Jacobson Dental Corp

Doing business as Children's Choice Dental Care

  • Multi-Specialty Clinic/Center
  • Oceanside, CA
National Provider Identifier
1932935491
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JACOBSON DENTAL CORP
Doing business as
Children's Choice Dental Care
Practice address
3805 Mission Ave Ste a
Oceanside, CA 92058-1873
Phone
(760) 387-1600
Fax
(844) 534-8464
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Kushboo Kumar
Title
Credentialing Specialist
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3805 Mission Ave Ste a
Oceanside, CA 92058-1873

Mailing address

1420 Rocky Ridge Dr Ste 320
Roseville, CA 95661-2835
Phone (916) 877-7450

Other names 1

  • Children's Choice Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Jeffrey a Saladin Dental Corporation30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

1420 Rocky Ridge Dr
Ste 320
Roseville, CA 95661

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1932935491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ROCKY RIDGE DR STE 320",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612835",
            "telephone_number": "916-877-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MISSION AVE STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581873",
            "telephone_number": "760-387-1600",
            "fax_number": "844-534-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KUSHBOO",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Choice Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.