Organization Active NPI

JH Chun Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1184036873
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52047 Issued in CA
Legal business name
JH CHUN DENTAL CORPORATION
Practice address
4140 Tyler St
Riverside, CA 92503-3445
Phone
(909) 984-4444
Fax
(909) 984-4441
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Jihee Hee Jung Chun, DDS
Title
Owner
Phone
(909) 984-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 52047 CA Primary

Addresses

Primary practice location

4140 Tyler St
Riverside, CA 92503-3445

Mailing address

4140 Tyler St
Riverside, CA 92503-3445
Phone (909) 984-4444

Other names 1

  • Dental Kidz Club Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Kidz Club2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1184036873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 TYLER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033445",
            "telephone_number": "909-984-4444",
            "fax_number": "909-984-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 TYLER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033445",
            "telephone_number": "909-984-4444",
            "fax_number": "909-984-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JH CHUN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_middle_name": "HEE JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-984-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.