Organization Active NPI

Kelli Junker DDS Inc

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1356647754
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51160 Issued in CA
Legal business name
KELLI JUNKER DDS INC
Practice address
400 Newport Center Dr Ste 708
Newport Beach, CA 92660-8604
Phone
(949) 640-2970
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Kelli Junker, DDSNPI 1003830464
Title
Owner
Phone
(949) 640-2970

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 SINGLE SPECIALTY GROUP 1223G0001X 51160 CA Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 708
Newport Beach, CA 92660-8604

Mailing address

400 Newport Center Dr Ste 708
Newport Beach, CA 92660-8604

National Provider Directory

National Provider Directory

Locations

400 Newport Center Dr
Ste 708
Newport Beach, CA 92660
Phone (949) 640-2970

Practitioners & affiliated clinicians

Practitioners 2

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1356647754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 708",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 708",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608604",
            "telephone_number": "949-640-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI JUNKER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "JUNKER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-640-2970",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.