Individual provider Active NPI

Jun Cheong, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1023314259
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52356 Issued in CA
Practice address
1007 W la Palma Ave
Ste 3
Anaheim, CA 92801-3620
Phone
(714) 778-6160
Fax
(714) 778-2800
NPI assigned
Feb 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52356 CA Primary

Addresses

Primary practice location

1007 W la Palma Ave
Ste 3
Anaheim, CA 92801-3620

Mailing address

23000 Crenshaw Blvd Ste 207
Torrance, CA 90505-3052
Phone (310) 926-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218001696 CA Practitioner - Dentist 0244578243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jun Cheong DDS, Incorporation General Practice CurrentSince Sep 4, 2018 Accepting new patients
Jun Cheong Dental Group Inc General Practice CurrentSince Jan 12, 2025 Accepting new patients
Jun Cheong Dental Corporation General Practice Current Accepting new patients
David H. Kim D.D.S. General Practice Past Accepting new patients

Locations

1007 W La Palma Ave
Ste 3
Anaheim, CA 92801
Phone (714) 778-6160

272 W Fairview Ave
San Gabriel, CA 91776
Phone (626) 872-6868

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1023314259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 CRENSHAW BLVD STE 207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053052",
            "telephone_number": "310-926-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W LA PALMA AVE",
            "address_2": "STE 3",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013620",
            "telephone_number": "714-778-6160",
            "fax_number": "714-778-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "JUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-05",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.