NPIMap

Organization Active NPI

Sunset Dental Professionals

  • Dentist
  • West Covina, CA
National Provider Identifier
1104104108
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54659 Issued in CA
Legal business name
SUNSET DENTAL PROFESSIONALS
Practice address
142 W West Covina Parkway
West Covina, CA 91790
Phone
(626) 960-2766
Fax
(626) 962-8216
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Andrew Woosung Knon, DDS
Title
Dentist
Phone
(626) 960-2766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54659 CA Primary

Addresses

Primary practice location

142 W West Covina Parkway
West Covina, CA 91790

Mailing address

1042 W West Covina Parkway
West Covina, CA 91790
Phone (626) 960-2766

National Provider Directory

National Provider Directory
Tax ID family
Sunset Dental Professional2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1104104108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 W WEST COVINA PARKWAY",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-2766",
            "fax_number": "626-962-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W WEST COVINA PARKWAY",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-2766",
            "fax_number": "626-962-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "KNON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WOOSUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-960-2766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.