Organization Active NPI

Kukhwa Ryu DDS Inc

  • Dentist
  • Eureka, CA
National Provider Identifier
1073054524
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55538 Issued in CA
Legal business name
KUKHWA RYU DDS INC
Practice address
604 Harris St
Eureka, CA 95503-4448
Phone
(714) 808-3800
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Kukhwa Ryu, DDS
Title
President
Phone
(714) 808-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55538 CA Primary

Addresses

Primary practice location

604 Harris St
Eureka, CA 95503-4448

Mailing address

2045 Redwood St
Eureka, CA 95503-8923
Phone (714) 808-3800

National Provider Directory

National Provider Directory

Locations

604 Harris St
Eureka, CA 95503
Phone (707) 443-8064

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1073054524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 REDWOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038923",
            "telephone_number": "714-808-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "714-808-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUKHWA RYU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "KUKHWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-808-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.