Dale William Jung, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

53074 Issued in CA

Practice address

12565 Hesperia Rd
#3
Victorville, CA 92395-8318

Phone

(760) 881-3636

Fax

(760) 881-3639

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1427193168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 HESPERIA RD",
            "address_2": "#3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958318",
            "telephone_number": "760-881-3636",
            "fax_number": "760-881-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 HESPERIA RD",
            "address_2": "#3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958318",
            "telephone_number": "760-881-3636",
            "fax_number": "760-881-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "DALE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Juarez
• Brian Z Judelson, DDS
• Lori Julian, OTRL
• Julius a Cruz, MD, Inc.
• Da Hye Jung
• James K Jung, D.P.M.
• Vana Marie Justice
• Juvilusan S. Salazar, M.D., Inc.
• K&C Inspire Therapy
• Keala Kaaikala, PA-C

• Endodontics in Victorville, CA
• Providers in Victorville, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.