Justin DO, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47467 Issued in CA

Legal business name

JUSTIN DO, DDS, INC

Practice address

6856 Edinger Ave
Huntington Beach, CA 92647-3402

Phone

(714) 841-0680

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Justin DO, DDSNPI 1659597771

Title

Ceo

Phone

(714) 841-0680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Justin DO, DDSQ

  • Dentist
  • Huntington Beach, CA
  • NPI 1659597771
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235358540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473402",
            "telephone_number": "714-841-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN DO, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-841-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayson Choi Jun, MSN, FNP-C, PMHNP-BC
• Matthew Jun
• Aina Jungwon Jung
• Sebastian Jurado, D.P.T.
• Kestutis Jusionis, PT
• Juvenile Drug Court
• Farah Juwania Cit Homsi
• K Whelan DDS Inc
• K. Chen a P.C.
• Samantha Nicole Kaeding

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 Aug 22, 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.