NPIMap

Organization Active NPI

Young Jun an ,D.D.S. Inc.

  • General Practice Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1659873537
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YOUNG JUN AN ,D.D.S. INC.
Practice address
166 N Moorpark Rd Ste 202
Thousand Oaks, CA 91360-4423
Phone
(805) 497-7505
Fax
(805) 497-3326
NPI assigned
Mar 6, 2018
Last updated
Mar 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNG JUN AN, D.D.S. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Young Jun An, D.D.S.NPI 1447318548
Title
President
Phone
(818) 988-9959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

166 N Moorpark Rd Ste 202
Thousand Oaks, CA 91360-4423

Mailing address

166 N Moorpark Rd Ste 202
Thousand Oaks, CA 91360-4423
Phone (805) 497-7505

National Provider Directory

National Provider Directory
Tax ID family
California Wave Dental Center3 organizations share this tax ID, including this one
Part of
California Wave Dental Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

166 N Moorpark Rd
Ste 202
Thousand Oaks, CA 91360
Phone (805) 497-7505

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1659873537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N MOORPARK RD STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604423",
            "telephone_number": "805-497-7505",
            "fax_number": "805-497-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 N MOORPARK RD STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604423",
            "telephone_number": "805-497-7505",
            "fax_number": "805-497-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG JUN AN ,D.D.S. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG JUN AN, D.D.S. INC.",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-988-9959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.