Organization Active NPI

Sung K. Ro DDS a Professioanl Dental Corp

  • Dentist
  • Anaheim, CA
National Provider Identifier
1245669704
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26224 Issued in CA
Legal business name
SUNG K. RO DDS A PROFESSIOANL DENTAL CORP
Practice address
1733 W la Palma Ave Ste B
Anaheim, CA 92801-3548
Phone
(714) 808-0113
Fax
(714) 808-9756
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Sung K Ro, DDSNPI 1780790113
Title
Dentist/Owner
Phone
(714) 808-0113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 26224 CA Primary

Addresses

Primary practice location

1733 W la Palma Ave Ste B
Anaheim, CA 92801-3548

Mailing address

1733 W la Palma Ave Ste B
Anaheim, CA 92801-3548
Phone (714) 808-0113

Other names 1

  • town-center dental Doing business as

National Provider Directory

National Provider Directory

Locations

1733 W La Palma Ave
Ste B
Anaheim, CA 92801
Phone (714) 520-4363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1245669704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 W LA PALMA AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013548",
            "telephone_number": "714-808-0113",
            "fax_number": "714-808-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W LA PALMA AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013548",
            "telephone_number": "714-808-0113",
            "fax_number": "714-808-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG K. RO DDS A PROFESSIOANL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-808-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "town-center dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.