Organization Active NPI

Cho Jeon Yun Dental Partnership

  • General Practice Dentistry
  • Montclair, CA
National Provider Identifier
1194335760
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHO JEON YUN DENTAL PARTNERSHIP
Practice address
9655 Monte Vista Ave #406
Montclair, CA 91763
Phone
(909) 626-8214
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Hyejin Jeon
Title
Partner
Phone
(269) 845-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9655 Monte Vista Ave #406
Montclair, CA 91763

Mailing address

646 N Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (269) 845-5088

National Provider Directory

National Provider Directory

Locations

646 N Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 861-2661

9655 Monte Vista Ave
Ste 406
Montclair, CA 91763
Phone (909) 626-8214

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": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1194335760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "269-845-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE #406",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "91763",
            "telephone_number": "909-626-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHO JEON YUN DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "HYEJIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "269-845-5088"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.