NPIMap

Organization Active NPI

Jun Wu DDS Inc.

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1093969271
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55406 Issued in CA
Legal business name
JUN WU DDS INC.
Practice address
15034 Foothill Blvd Ste a
Fontana, CA 92335-7050
Phone
(909) 356-9888
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Jun Wu, DDSNPI 1750409181
Title
President
Phone
(909) 356-9888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 55406 CA Primary

Addresses

Primary practice location

15034 Foothill Blvd Ste a
Fontana, CA 92335-7050

Mailing address

15034 Foothill Blvd Ste a
Fontana, CA 92335-7050
Phone (909) 356-9888

Other names 1

  • Golden Coast Dental Doing business as

National Provider Directory

National Provider Directory

Locations

15034 Foothill Blvd
Ste A
Fontana, CA 92335
Phone (909) 356-9888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1093969271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15034 FOOTHILL BLVD STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357050",
            "telephone_number": "909-356-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15034 FOOTHILL BLVD STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357050",
            "telephone_number": "909-356-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN WU DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-356-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.