KJ Cabugao DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58945 Issued in CA

Legal business name

KJ CABUGAO DDS INC

Doing business as

Encore Dental at Napa

Practice address

3220 Beard Rd Ste B
Napa, CA 94558-3403

Phone

(707) 252-1950

Fax

(707) 252-7165

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kevin J Cabugao, DDS, MBA

Title

Owner

Phone

(415) 683-7523

Specialties & licenses 1

Addresses

Other names 1

• Encore Dental at Napa Doing business as

Tax ID family

Encore Dental at Napa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• KJ Cabugao DDS Inc

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1871112052
  NPD tax ID

Locations

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1962905125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-252-1950",
            "fax_number": "707-252-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-252-1950",
            "fax_number": "707-252-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ CABUGAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "CABUGAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-683-7523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Dental at Napa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayna Kirk
• Kathy Windom Kirkland, RN
• Sunil R Kishan, MD
• Charles Kitchens, MD
• Jessica Kite
• Veronica Correa Klammer, D.O.
• Carolina Angelica Klein, MD
• Rachel Klein
• Adam Francis Kleinhenz
• Cameron Klemme

• General Practice Dentistry in Napa, CA
• Providers in Napa, 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 Mar 14, 2018; 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.