Organization Active NPI

Mitchell Jang DDS, Inc.

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1992524177
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MITCHELL JANG DDS, INC.
Practice address
90 Woodacre Dr Ste 107
San Francisco, CA 94132-1658
Phone
(415) 584-6300
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mitchell Jang, DDSNPI 1396575031
Title
President
Phone
(650) 483-6624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

90 Woodacre Dr Ste 107
San Francisco, CA 94132-1658

Mailing address

1275 18TH Ave
San Francisco, CA 94122-1805

National Provider Directory

National Provider Directory

Locations

90 Woodacre Dr
Ste 107
San Francisco, CA 94132
Phone (415) 584-6300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1992524177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 18TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658",
            "telephone_number": "415-584-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL JANG DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-483-6624",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.