Organization Active NPI

JH Chun Dental Corporation

Doing business as Dental Kidz Club

  • Dentist
  • Ontario, CA
National Provider Identifier
1447662341
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52047 Issued in CA
Legal business name
JH CHUN DENTAL CORPORATION
Doing business as
Dental Kidz Club
Practice address
210 W C St
Ontario, CA 91762-3413
Phone
(909) 984-4444
Fax
(909) 984-4441
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Jihee Hee Jung Chun, DDS
Title
Owner
Phone
(909) 984-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 52047 CA Primary

Addresses

Primary practice location

210 W C St
Ontario, CA 91762-3413

Mailing address

210 W C St
Ontario, CA 91762-3413
Phone (909) 984-4444

Other names 1

  • Dental Kidz Club Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Kidz Club2 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

210 W C St
Ontario, CA 91762
Phone (909) 984-4444

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1447662341",
    "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": "917623413",
            "telephone_number": "909-984-4444",
            "fax_number": "909-984-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W C ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623413",
            "telephone_number": "909-984-4444",
            "fax_number": "909-984-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JH CHUN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_middle_name": "HEE JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-984-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.