Active NPI
Min Kyung Ku, D.D.S.
- General Practice Dentistry
- Sun City, CA
National Provider Identifier
1235346602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54527
- Practice address
- 29950 Haun Rd Ste 302
Sun City, CA 92586-6527 - Phone
- (951) 679-1667
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 54527 | CA | Primary |
Addresses
Primary practice location
29950 Haun Rd Ste 302
Sun City, CA 92586-6527
Mailing address
6580 Peach Blossom St
Corona, CA 92880-0764
Phone (714) 743-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235346602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6580 PEACH BLOSSOM ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928800764",
"telephone_number": "714-743-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29950 HAUN RD STE 302",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925866527",
"telephone_number": "951-679-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KU",
"first_name": "MIN KYUNG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "54527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.