Organization Active NPI

J Chun Dental Corp

  • Dentist
  • Corona, CA
National Provider Identifier
1447715743
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J CHUN DENTAL CORP
Practice address
1112 W 6TH St Ste 105
Corona, CA 92882-3137
Phone
(951) 200-5553
Fax
(951) 200-5501
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Jihee Chun, DDS
Title
Owner
Phone
(909) 984-4444

Specialties & licenses 1

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

Addresses

Primary practice location

1112 W 6TH St Ste 105
Corona, CA 92882-3137

Mailing address

1112 W 6TH St Ste 105
Corona, CA 92882-3137
Phone (951) 200-5553

Other names 1

  • Dental Kidz Club Doing business as

National Provider Directory

National Provider Directory

Locations

1112 W 6th St
Ste 105
Corona, CA 92882
Phone (951) 200-5553

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1447715743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823137",
            "telephone_number": "951-200-5553",
            "fax_number": "951-200-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823137",
            "telephone_number": "951-200-5553",
            "fax_number": "951-200-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHUN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-984-4444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.