NPIMap

Organization Active NPI

Shuen Family Dental Group, Inc.

  • Dental Clinic/Center
  • Fremont, CA
National Provider Identifier
1265850424
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
44777 Issued in CA
Legal business name
SHUEN FAMILY DENTAL GROUP, INC.
Practice address
39812 Mission Blvd Ste 109
Fremont, CA 94539-3088
Phone
(510) 661-0788
Fax
(510) 870-0687
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Suwen Shuen, DDSNPI 1356587323
Title
President
Phone
(510) 661-0788

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
Dental Clinic/Center 261QD0000X 44777 CA Primary

Addresses

Primary practice location

39812 Mission Blvd Ste 109
Fremont, CA 94539-3088

Mailing address

39812 Mission Blvd Ste 109
Fremont, CA 94539-3088
Phone (510) 661-0788

Other names 1

  • Kimber Park Family Dental Doing business as

National Provider Directory

National Provider Directory

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": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1265850424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD STE 109",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393088",
            "telephone_number": "510-661-0788",
            "fax_number": "510-870-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD STE 109",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393088",
            "telephone_number": "510-661-0788",
            "fax_number": "510-870-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUEN FAMILY DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "SHUEN",
        "authorized_official_first_name": "SUWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-661-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimber Park Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.