Organization Active NPI

C and J Dental Group, PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1306189089
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6759 Issued in AZ
Legal business name
C AND J DENTAL GROUP, PLLC
Practice address
18261 N Pima Rd
Suite #E-130
Scottsdale, AZ 85255-6229
Phone
(480) 502-5025
Fax
(480) 502-5058
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Shung Hyun Joh, DDS
Title
Owner/Dentist
Phone
(480) 502-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6759 AZ Primary

Addresses

Primary practice location

18261 N Pima Rd
Suite #E-130
Scottsdale, AZ 85255-6229

Mailing address

18261 N Pima Rd
Suite #E-130
Scottsdale, AZ 85255-6229
Phone (480) 502-5025

Other names 1

  • CJ Dentistry Other name

National Provider Directory

National Provider Directory

Locations

18261 N Pima Rd
Ste E130
Scottsdale, AZ 85255
Phone (480) 502-5025

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1306189089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18261 N PIMA RD",
            "address_2": "SUITE #E-130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556229",
            "telephone_number": "480-502-5025",
            "fax_number": "480-502-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18261 N PIMA RD",
            "address_2": "SUITE #E-130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556229",
            "telephone_number": "480-502-5025",
            "fax_number": "480-502-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND J DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "JOH",
        "authorized_official_first_name": "SHUNG",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-502-5025",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJ Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.