Organization Active NPI

Jun Cheong DDS, Incorporation

Doing business as Ace Dental Group

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1144736125
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
JUN CHEONG DDS, INCORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218001633 CA Part B Supplier - Clinic/Group Practice 9335487321 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory
Tax ID family
Jun Cheong DDS Incorporation2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.