NPIMap

Organization Active NPI

S.Y.Y Jang DDS Corp

  • Pediatric Dentistry
  • Lincoln, CA
National Provider Identifier
1992295612
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
S.Y.Y JANG DDS CORP
Practice address
731 Sterling Pkwy Ste 100C
Lincoln, CA 95648-7307
Phone
(916) 226-6767
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Megan Castillo
Title
Manager
Phone
(916) 781-6550

Specialties & licenses 1

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

Addresses

Primary practice location

731 Sterling Pkwy Ste 100C
Lincoln, CA 95648-7307

Mailing address

2260 E Bidwell St # 408
Folsom, CA 95630-3555

Other names 1

  • Kids Dentist Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids Dentist Plus14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2260 E Bidwell St
#408
Folsom, CA 95630

731 Sterling Pkwy
Ste 100C
Lincoln, CA 95648

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1992295612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST # 408",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STERLING PKWY STE 100C",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487307",
            "telephone_number": "916-226-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.Y.Y JANG DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-781-6550"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dentist Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Dentist Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.