Active NPI
Karen Jung
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1154283513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111179
- Practice address
- 1556 S Sultana Ave
Ontario, CA 91761-4238 - Phone
- (909) 469-9018
- NPI assigned
- Nov 24, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111179 | CA | Primary |
Addresses
Primary practice location
1556 S Sultana Ave
Ontario, CA 91761-4238
Mailing address
1556 S Sultana Ave
Ontario, CA 91761-4238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111179 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1154283513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 S SULTANA AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917614238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 S SULTANA AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917614238",
"telephone_number": "909-469-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
- Robert Judkins
- Jui Kuang Lin, M. D. Inc
- Jui-Min Su, D.D.S., M.S., Professional Corporation (Purity and Wellness Dentistry)
- Julia Brown Dental Corporation
- Gemma Iin Jung
- Kathleen Junyk
- Farrnam Harlang Kachouei, PHARMD
- Fauntazia Kahaleua Faaifo
- Fakatoukatea Lopa Kaifahina
- Kaiser Foundation Health Plan Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.