Joon Mitchell Hur, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105252 Issued in CA

Practice address

16120 S Highland Ave # 300
Fontana, CA 92336-1228

Phone

(909) 232-8179

NPI assigned

Nov 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Joon Heo Mitchell Former name

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1568974335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N PLACER PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645666",
            "telephone_number": "714-290-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 S HIGHLAND AVE # 300",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361228",
            "telephone_number": "909-232-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "JOON",
        "middle_name": "MITCHELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415836",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOON",
            "last_name": "MITCHELL",
            "middle_name": "HEO",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherri Lynn Hull, NURSE PRACTITIONER
• Marissa Huma
• Laura Maricela Humaran Raya
• Emily Davi Hun, PAC
• Betty Lynn Hunter, NP
• Kim Hurley, LCSW
• Mary E. Hurley, MD
• Melvin Lorance Hurndon
• Adeel Husain, M.D.
• Rose Huston, RRT-SDS

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.