Premier Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER FAMILY DENTISTRY

Practice address

9710 Garden Grove Blvd
#B
Garden Grove, CA 92844-1644

Phone

(714) 539-5013

Fax

(714) 539-6013

NPI assigned

Mar 3, 2017

Last updated

Mar 3, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

PREMIER FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Rosa Tae-Yon Byon, DDS

Title

DDS/Owner

Phone

(714) 539-5013

Specialties & licenses 1

Addresses

Part of

Premier Family Dentistry

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Premier Family Dentistry

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1124282397
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• In Young Kim, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1184830309
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1558801951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 GARDEN GROVE BLVD",
            "address_2": "#B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441644",
            "telephone_number": "714-539-5013",
            "fax_number": "714-539-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 GARDEN GROVE BLVD",
            "address_2": "#B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441644",
            "telephone_number": "714-539-5013",
            "fax_number": "714-539-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER FAMILY DENTISTRY",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "BYON",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "TAE-YON",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "714-539-5013",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Giselle Preciado
• Jorge Preciado
• Monica Preciado
• Elissa Predes
• Divya Shravani Prem
• Premier Patient Care Ipa
• Elena Presilla
• Prespective Home Health, Inc.
• Nancy Preza, RN
• Jonathan Price

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.