Organization Active NPI

Star White Dental Clinic

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1376708610
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54697 Issued in CA
Legal business name
STAR WHITE DENTAL CLINIC
Practice address
2105 San Joaquin Hills Rd
Newport Beach, CA 92660-6507
Phone
(949) 721-7130
Fax
(949) 721-1709
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Bong Koog Noh, D.D.S
Title
President
Phone
(949) 721-1730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 54697 CA Primary

Addresses

Primary practice location

2105 San Joaquin Hills Rd
Newport Beach, CA 92660-6507

Mailing address

2105 San Joaquin Hills Rd.
Newport Beach, CA 92660
Phone (949) 721-7130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1376708610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SAN JOAQUIN HILLS RD.",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-721-7130",
            "fax_number": "949-721-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606507",
            "telephone_number": "949-721-7130",
            "fax_number": "949-721-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR WHITE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "BONG",
        "authorized_official_middle_name": "KOOG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-721-1730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54697",
            "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 Jul 25, 2008; 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.