NPIMap

Organization Active NPI

JH Chun DDS Inc.

Doing business as Dental Kidz Club

  • Dental Clinic/Center
  • Perris, CA
National Provider Identifier
1356931117
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JH CHUN DDS INC.
Doing business as
Dental Kidz Club
Practice address
180 E 4TH St Ste a
Perris, CA 92570-2114
Phone
(951) 657-3102
NPI assigned
Jan 25, 2021
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Jihee Chun
Title
President
Phone
(909) 648-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

180 E 4TH St Ste a
Perris, CA 92570-2114

Mailing address

210 W C St
Ontario, CA 91762-3404

Other names 1

  • Dental Kidz Club Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Kidz Club5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1356931117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W C ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E 4TH ST STE A",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702114",
            "telephone_number": "951-657-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JH CHUN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-648-3707"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.