NPIMap

Organization Active NPI

Jonathan S. Won DDS Inc

Doing business as Pacific Dental Care/ Dental Group

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1346482759
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44125 Issued in CA
Legal business name
JONATHAN S. WON DDS INC
Doing business as
Pacific Dental Care/ Dental Group
Practice address
39522 10TH St W Ste C
Palmdale, CA 93551-3757
Phone
(661) 267-5700
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Jonathan Sunyong Won, DDSNPI 1760650600
Title
Ceo
Phone
(661) 267-5700

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44125 CA Primary

Addresses

Primary practice location

39522 10TH St W Ste C
Palmdale, CA 93551-3757

Mailing address

39522 10TH St W Ste C
Palmdale, CA 93551-3757
Phone (661) 267-5700

Other names 1

  • Pacific Dental Care/ Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jonathan S Won DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39522 10th St W
Ste C
Palmdale, CA 93551
Phone (661) 267-5700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1346482759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-267-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-267-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. WON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SUNYONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-267-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Care/ Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.