Active NPI
Sung K. Ro DDS a Professioanl Dental Corp
- Dentist
- Anaheim, CA
National Provider Identifier
1245669704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sung K Ro, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1780790113
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.