NPIMap

Organization Active NPI

Jared G. Danielson, DDS, Dental Corporation

  • Pediatric Dentistry
  • Sacramento, CA
National Provider Identifier
1972908051
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
52846 Issued in CA
Legal business name
JARED G. DANIELSON, DDS, DENTAL CORPORATION
Practice address
8689 Folsom Blvd
Sacramento, CA 95826-3708
Phone
(916) 230-8837
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. Jared G Danielson, DDS
Title
President
Phone
(916) 230-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 52846 CA Primary

Addresses

Primary practice location

8689 Folsom Blvd
Sacramento, CA 95826-3708

Mailing address

3628 Walker Park Dr
El Dorado Hills, CA 95762-7609
Phone (916) 230-8837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1972908051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 WALKER PARK DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627609",
            "telephone_number": "916-230-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263708",
            "telephone_number": "916-230-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED G. DANIELSON, DDS, DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-230-8837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.