JH Chun III DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JH CHUN III DDS, INC.

Doing business as

Dental Kidz Club

Practice address

23750 Alessandro Blvd Ste 102
Moreno Valley, CA 92553-8811

Phone

(909) 648-3707

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Jihee ChunNPI 1568501047

Title

Owner

Phone

(909) 648-3707

Specialties & licenses 1

Addresses

Other names 1

• Dental Kidz Club Doing business as

Locations

Practitioners 1

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

• Jihee Chun, D.D.S

  • General Practice Dentistry
  • Covina, CA
  • NPI 1568501047
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1487354775",
    "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": "917623404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23750 ALESSANDRO BLVD STE 102",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538811",
            "telephone_number": "909-648-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JH CHUN III DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-648-3707"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Jefferson
• Jean Jenbaz, DDS
• Suzanne Jensen, DDS
• Min Young Jeong, DAOM, L.AC.
• Young DO Jeong, MD
• Nathan Yue Jia, L.AC
• Changmin Jiang, MASSAGE THERAPIST
• Jiloa Treatment and Recovery Centers Inc
• Eileen Jimenez
• Victoria Jimenez

• Dental Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.