Organization Active NPI

Heungki Min DDS a Professional Corp

  • Dental Clinic/Center
  • Buena Park, CA
National Provider Identifier
1205305992
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HEUNGKI MIN DDS A PROFESSIONAL CORP
Practice address
5881 Beach Blvd
Buena Park, CA 90621-2021
Phone
(714) 266-0378
Fax
(714) 266-0385
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Dr. Heungki Min
Title
President
Phone
(714) 266-0378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5881 Beach Blvd
Buena Park, CA 90621-2021

Mailing address

5881 Beach Blvd
Buena Park, CA 90621-2021
Phone (714) 266-0378

National Provider Directory

National Provider Directory

Locations

5881 Beach Blvd
Buena Park, CA 90621
Phone (310) 738-3117

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1205305992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-266-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-266-0378",
            "fax_number": "714-266-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEUNGKI MIN DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "HEUNGKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-266-0378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.