Jay J Sung DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

39093 Issued in CA

Legal business name

JAY J SUNG DDS INC

Practice address

174 W. College St
Covina, CA 91723

Phone

(626) 915-5317

Fax

(626) 966-0244

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jay J Sung, DDSNPI 1457554362

Title

Owner

Phone

(626) 915-5317

Specialties & licenses 1

Addresses

Other names 1

• INC Former legal business name

Locations

Practitioners 1

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

• Jay J Sung, DDS

  • Endodontics
  • Covina, CA
  • NPI 1457554362
  NPD (past) Authorized official

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1306235635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W. COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-915-5317",
            "fax_number": "626-966-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W. COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-915-5317",
            "fax_number": "626-966-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY J SUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-915-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah Jarvis
• Tatiana Jasso
• Desilyn Alexandria Jauregui
• Vahid Javaherian, DO
• Mary Raychel Javelosa, RN
• Jay R. Robbins D.C.
• JB&MM Consulting Services LLC
• Jennice Jefferson
• Jirah Jenkins
• Rocio Jenkins, B.A.

• Endodontics in Covina, CA
• Providers in Covina, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.