Organization Active NPI

Byun and Patel, a Dental Corporation

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1245460898
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48707 Issued in CA
Legal business name
BYUN AND PATEL, A DENTAL CORPORATION
Practice address
3528 W 1St St
Santa Ana, CA 92703-3302
Phone
(714) 617-4400
Fax
(714) 617-4402
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Jung-Wook Byun, DDS
Title
Ceo
Phone
(949) 939-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48707 CA Primary

Addresses

Primary practice location

3528 W 1St St
Santa Ana, CA 92703-3302

Mailing address

3528 W 1St St
Santa Ana, CA 92703-3302
Phone (714) 617-4400

Other identifiers 2

IdentifierTypeStateIssuer
1801936968OtherCANPI
1104960574OtherCANPI

National Provider Directory

National Provider Directory

Locations

3528 W 1st St
Santa Ana, CA 92703
Phone (714) 617-4400

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1245460898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033302",
            "telephone_number": "714-617-4400",
            "fax_number": "714-617-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033302",
            "telephone_number": "714-617-4400",
            "fax_number": "714-617-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUN AND PATEL, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "JUNG-WOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-939-1311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801936968",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104960574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.