JACQUELYN DO DDS INC. (NPI# 1588227185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588227185 |
| Entity Type | Organization |
| Organization Name | JACQUELYN DO DDS INC. |
| Practice Address |
12835 Pointe Del Mar Way Ste 2 Del Mar CA 92014-3846 |
| Practice Telephone | 8587550050 |
| Practice Fax Number | 8587550059 |
| Mailing Telephone | 8587550050 |
| Mailing Fax Number | 8587550059 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MR. ARTURO MEDINA (COO) |
| Authorized Official Telephone | 9734952993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sunny Smiles Kids Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
12835 POINTE DEL MAR WAY STE 2 |
| City | DEL MAR |
| State | CA |
| Zip Code | 92014-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447475413 | Jacquelyn Khanh-phuong Do | Dentist | 12835 Pointe Del Mar Way Ste 2, Del Mar, CA 92014-3846 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751924 | Stanisai Dental Corporation | Dentist | 2710 Via De La Valle, Suite B250, Del Mar, CA 92014 | 2017-07-03 |
| 1750757886 | Darena Ann Bailey | Psychologist | 13778 Ruette Le Parc, Suite E, Del Mar, CA 92014 | 2015-08-12 |
| 1063754885 | James Anthony Bosch | Marriage & Family Therapist | 2002 Jimmy Durante Blvd Suite 124, Del Mar, CA 92014 | 2013-03-19 |
| 1255682167 | Allcare Behavioral Health | Community/Behavioral Health | 3790 Via Da La Valle, Suite 108e, Del Mar, CA 92014 | 2012-10-02 |
| 1952693467 | William Talbot Bowen | Emergency Medicine | 13734 Boquita Dr., Del Mar, CA 92014 | 2011-05-03 |
| 1821239567 | Kathyrn Engel | Social Worker | 13352 Caminito Carmel, Del Mar, CA 92014 | 2009-03-10 |
| 1356500839 | Hsin-ti S Chang | Dentist | 13760 Portofino Dr Apt A, Del Mar, CA 92014 | 2008-06-09 |
| 1952523177 | Ron Barry Dmd Inc. | Dentist | 13983 Mango Drive, Suite 202, Del Mar, CA 92014 | 2007-05-03 |
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1144388554 | Charlotte Denise Scott | Chiropractor | 2636 Flower Hill Drive, Del Mar, CA 92014 | 2006-12-05 |
| Find all providers in zip 92014 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306375936 | Nicholas Jize Dds, Inc | Dentist | 2775 Via De La Valle Ste 103, Del Mar, CA 92014-1919 | 2017-06-07 |
| 1447475413 | Jacquelyn Khanh-phuong Do | Dentist | 12835 Pointe Del Mar Way Ste 2, Del Mar, CA 92014-3846 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.