Organization Active NPI

Sung Min Suh DDS, Inc

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1255642963
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58457 Issued in CA
Legal business name
SUNG MIN SUH DDS, INC
Doing business as
Joseph Dental Group
Practice address
4050 Barranca Pkwy Ste 100
Irvine, CA 92604-1725
Phone
(949) 861-3131
Fax
(949) 387-7600
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Sung Min Seo, D.D.S
Title
Dentist/Owner
Phone
(949) 861-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58457 CA Primary

Addresses

Primary practice location

4050 Barranca Pkwy Ste 100
Irvine, CA 92604-1725

Mailing address

4050 Barranca Pkwy Ste 100
Irvine, CA 92604-1725
Phone (949) 861-3131

Other names 1

  • Joseph Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4050 Barranca Pkwy
Ste 100
Irvine, CA 92604
Phone (949) 861-3131

Practitioners & affiliated clinicians

Practitioners 2

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": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1255642963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 BARRANCA PKWY STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041725",
            "telephone_number": "949-861-3131",
            "fax_number": "949-387-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BARRANCA PKWY STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041725",
            "telephone_number": "949-861-3131",
            "fax_number": "949-387-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG MIN SUH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SUNG MIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "949-861-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.