Byun Lee and Patel a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48707 Issued in CA

Legal business name

BYUN LEE AND PATEL A DENTAL CORPORATION

Practice address

1313 W 17TH St Ste B
Santa Ana, CA 92706-3308

Phone

(714) 568-1600

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jung Wook Byun, DDS

Title

Secretary

Phone

(949) 878-6680

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1205323391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W 17TH ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063308",
            "telephone_number": "714-568-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W 17TH ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063308",
            "telephone_number": "714-568-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUN LEE AND PATEL A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "JUNG WOOK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-878-6680",
        "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": "48707",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54717",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801936968",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104960574",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619227352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Byars
• Byong Hwi Lee, D.D.S, Inc (dulce dental)
• Charity Byrne
• Byun and Patel, a Dental Corporation
• Byun and Patel, a Dental Corporation
• Byun Patel and Lee a Dental Corporation
• Chul Young Byun, DDS
• C & R Medical Transportation
• C and a Health Services
• C Tran Dental , Inc. (DBA: Grand Dental Group)

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.