Organization Active NPI

On Dental Corporation

  • Dentist
  • Artesia, CA
National Provider Identifier
1053863712
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41361 Issued in CA
Legal business name
ON DENTAL CORPORATION
Practice address
19038 Norwalk Blvd
Suite B
Artesia, CA 90701-7032
Phone
(714) 556-6556
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Chul Young ByunNPI 1346319803
Title
Ceo
Phone
(714) 556-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41361 CA Primary

Addresses

Primary practice location

19038 Norwalk Blvd
Suite B
Artesia, CA 90701-7032

Mailing address

19038 Norwalk Blvd
Suite B
Artesia, CA 90701-7032
Phone (714) 556-6556

National Provider Directory

National Provider Directory

Locations

19038 Norwalk Blvd
Ste B
Artesia, CA 90701
Phone (714) 556-6556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1053863712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19038 NORWALK BLVD",
            "address_2": "SUITE B",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907017032",
            "telephone_number": "714-556-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19038 NORWALK BLVD",
            "address_2": "SUITE B",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907017032",
            "telephone_number": "714-556-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "CHUL",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-556-6556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.