Active NPI
Jun Cheong DDS, Incorporation
Doing business as Ace Dental Group
- Dental Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JUN CHEONG DDS, INCORPORATION
- Doing business as
- Ace Dental Group
- Practice address
- 1007 W la Palma Ave Ste 3
Anaheim, CA 92801-3620 - Phone
- (714) 778-6160
- NPI assigned
- Dec 28, 2017
- Last updated
- Sep 20, 2018
- Organization subpart
- Yes
- Parent organization
- JUN CHEONG DDS, INCORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daye Jang
- Title
- Office Administrator
- Phone
- (213) 568-9681
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1007 W la Palma Ave Ste 3
Anaheim, CA 92801-3620
Mailing address
1007 W la Palma Ave Ste 3
Anaheim, CA 92801-3620
Phone (714) 778-6160
Other names 1
- ACE DENTAL GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Jun Cheong DDS Incorporation
- Part of
- Jun Cheong DDS Incorporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1023314259
-
- Dentist
- Anaheim, CA
- NPI 1558448704
-
- General Practice Dentistry
- Glendale, CA
- NPI 1548814841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1144736125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W LA PALMA AVE STE 3",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928013620",
"telephone_number": "714-778-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W LA PALMA AVE STE 3",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928013620",
"telephone_number": "714-778-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUN CHEONG DDS, INCORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JUN CHEONG DDS, INCORPORATION",
"enumeration_date": "2017-12-28",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "JANG",
"authorized_official_first_name": "DAYE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "213-568-9681"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ACE DENTAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.