Jui-Min Su, D.D.S., M.S., Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

57138 Issued in CA

Legal business name

JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION

Practice address

4275 Concours Ste 105
Ontario, CA 91764-5901

Phone

(951) 736-0876

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jui-Min Su, D.D.S., M.S.NPI 1841216561

Title

President

Phone

(951) 736-0876

Specialties & licenses 1

Addresses

Other names 1

• Purity and Wellness Dentistry Doing business as

Locations

Practitioners 1

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

• Jui-Min Su, D.D.S., M.S.

  • Prosthodontics
  • Ontario, CA
  • NPI 1841216561
  NPD (past) Authorized official

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1184938532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 RASPBERRY CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928807297",
            "telephone_number": "951-736-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 CONCOURS STE 105",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645901",
            "telephone_number": "951-736-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "JUI-MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purity and Wellness Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marleen Juarez
• Nathaniel Juarez
• Mathew L. Judd, LCSW
• Robert Judkins
• Jui Kuang Lin, M. D. Inc
• Julia Brown Dental Corporation
• Gemma Iin Jung
• Karen Jung
• Kathleen Junyk
• Farrnam Harlang Kachouei, PHARMD

• Dental Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.