Ji Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JI FAMILY DENTAL LLC

Practice address

19731 S Highway 213
Oregon City, OR 97045-4190

Phone

(503) 518-3384

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sung Yeon Ji, DDSNPI 1609208040

Title

Dentist

Phone

(971) 266-7043

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Sung Yeon Ji, DDS

  • Dentist
  • Eugene, OR
  • NPI 1609208040
  NPD Authorized official
• Jung Hun Ji, D.D.S.

  • Dentist
  • Oregon City, OR
  • NPI 1477957850
  NPD (past)
• Randall Francis Glenn, D.M.D.

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1821095712
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1124521166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 SE 141ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972365445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19731 S HIGHWAY 213",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454190",
            "telephone_number": "503-518-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JI FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "SUNG YEON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "971-266-7043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Jay Jeffreys, MD
• Brandon Jeric
• Veronica Jeronimo
• Sherry L Jester, RN
• Joseph Nathan Jett, NURSE PRACTITIONER
• Jung Hun Ji, D.D.S.
• Marisela Jimenez
• Patricia Beth Fuentes Jimmie, LMT
• Jo Anne Nielsen, M.D., P.C.
• Murray Douglas Joe, M.D.

• Dental Clinic/Center in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.