Cucamonga Peak Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

63274 Issued in CA

Legal business name

CUCAMONGA PEAK ENDODONTICS

Practice address

11438 Kenyon Way # 3-C
Rancho Cucamonga, CA 91701-9230

Phone

(909) 945-5262

Fax

(909) 945-5223

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jaehoon Lee, DMD

Title

Owner

Phone

(909) 945-5262

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Menifee Endodontics

  • Endodontics
  • Menifee, CA
  • NPI 1639617632
  NPPES parent name

Practitioners 1

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

• Seong Wook Lee, D.M.D

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1861582801

  Endodontics

  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1376928481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 KENYON WAY # 3-C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019230",
            "telephone_number": "909-945-5262",
            "fax_number": "909-945-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 KENYON WAY # 3-C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019230",
            "telephone_number": "909-945-5262",
            "fax_number": "909-945-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUCAMONGA PEAK ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEHOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-945-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "63274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Vision Optometry Group
• Lilianna Marie Cuadros
• Cucamonga Counseling
• Cucamonga Couseling and Behavioral Solutions
• Cucamonga Esd
• Lawson Cude
• Katrina Cuenca-Nario, MOT, OTR/L
• Daniela Cuerno Hernandez
• Juliana Cuevas, CNA
• James William Culp, RADT

• Endodontics in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.