Kevin Ju, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54002 Issued in CA

Legal business name

KEVIN JU, DDS, INC.

Practice address

44439 17TH St W Ste 201
201
Lancaster, CA 93534-2856

Phone

(661) 723-1461

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Kevin Ju

Title

President

Phone

(661) 723-1461

Specialties & licenses 1

Addresses

Practitioners 1

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

• Daniel Kim, DDS

  • Endodontics
  • Lancaster, CA
  • NPI 1700070455
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1295048023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W STE 201",
            "address_2": "201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W STE 201",
            "address_2": "201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342856",
            "telephone_number": "661-723-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN JU, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-723-1461"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W. Malone, DDS, PC
• Tararoth Pen Keo
• Mikayla Erin Kerchen
• Kathleen Kessler, LCSW83460
• Lisa Kathleen Kettelkamp
• George O. Kevly, M.D.
• KF Marriage & Family Therapy, a Professional Corporation
• Sarvnaz Khajavi
• Abubakr M Khalifa, RCP
• Muzzamal Khan, NP-C

• Dental Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.