Organization Active NPI

Jonathan S. Won DDS Inc

Doing business as Pacific Dental Care/ Dental Group

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1417199639
Registry record updated Apr 2, 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
37262 47TH St E Ste 101
Palmdale, CA 93552-4482
Phone
(661) 285-8600
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Jonathan Sunyong Won, DDS
Title
Ceo
Phone
(661) 285-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44125 CA Primary

Addresses

Primary practice location

37262 47TH St E Ste 101
Palmdale, CA 93552-4482

Mailing address

37262 47TH St E Ste 101
Palmdale, CA 93552-4482
Phone (661) 285-8600

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

37262 47th St E
Ste 101
Palmdale, CA 93552
Phone (661) 285-8600

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1417199639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37262 47TH ST E STE 101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524482",
            "telephone_number": "661-285-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37262 47TH ST E STE 101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524482",
            "telephone_number": "661-285-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. WON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "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": "661-285-8600",
        "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 Apr 2, 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.