Active NPI
Kim, Jong and Park Dental Corporation
- Dentist
- Corona, CA
National Provider Identifier
1598026874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39018
- Legal business name
- KIM, JONG AND PARK DENTAL CORPORATION
- Doing business as
- ion dental group
- Practice address
- 1032 E 6TH St
Corona, CA 92879 - Phone
- (951) 520-8221
- NPI assigned
- Jun 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gisela Bailon
- Title
- Manager
- Phone
- (951) 520-8221
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39018 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 34505 | CA | |
| Periodontics | 1223P0300X | 49631 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 43494 | CA |
Addresses
Primary practice location
1032 E 6TH St
Corona, CA 92879
Mailing address
1032 E 6TH St
Corona, CA 92879
Phone (951) 520-8221
Other names 1
- ion dental group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1598026874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 E 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-520-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 E 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "951-520-8221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM, JONG AND PARK DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-04",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "BAILON",
"authorized_official_first_name": "GISELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "951-520-8221"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "39018",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34505",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "49631",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "43494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ion dental group",
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.