Janice Kaeley DDS, a Professional Dental Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

57658 Issued in CA

Legal business name

JANICE KAELEY DDS, A PROFESSIONAL DENTAL CORPORATION

Practice address

9301 Fircrest LN
Suite #5
San Ramon, CA 94583-3960

Phone

(925) 557-7115

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By 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

Janice Kaeley, DDSNPI 1659616654

Title

President

Phone

(209) 648-9896

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.

• Janice Kaeley, DDS, MSD

  • Periodontics
  • San Ramon, CA
  • NPI 1659616654
  NPD (past) Authorized official

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1982067161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 VERONA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FIRCREST LN",
            "address_2": "SUITE #5",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833960",
            "telephone_number": "925-557-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE KAELEY DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "KAELEY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-648-9896",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "57658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Filip Gingco Jamero
• James H. Choi, DDS, Ms, Inc.
• Deja James
• Jeanne Louise James, MS
• Shahrzad Janbakhshzadeh
• Kawthar Jasim
• Zainab Jasim
• Jesus Jauregui
• Samanthi Aruni Jayasuriya, BCBA
• Jazmyne Jefferson

• Periodontics in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.