Active NPI
David Won DDS Corporation
- General Practice Dentistry
- Yucca Valley, CA
National Provider Identifier
1053154385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DAVID WON DDS CORPORATION
- Practice address
- 57463 29 Palms Hwy Ste 204
Yucca Valley, CA 92284-2925 - Phone
- (760) 365-2331
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J Won, DDS
- Title
- Owner Dentist
- Phone
- (602) 390-9532
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
57463 29 Palms Hwy Ste 204
Yucca Valley, CA 92284-2925
Mailing address
57463 29 Palms Hwy Ste 204
Yucca Valley, CA 92284-2925
Phone (760) 365-2331
National Provider Directory
National Provider DirectoryLocations
57463 29 Palms Hwy
Ste 204
Yucca Valley, CA 92284
Phone (760) 365-2331
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Riverside, CA
- NPI 1053973370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1053154385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57463 29 PALMS HWY STE 204",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842925",
"telephone_number": "760-365-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57463 29 PALMS HWY STE 204",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842925",
"telephone_number": "760-365-2331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID WON DDS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "WON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "602-390-9532",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.