Sungkuk Jung DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNGKUK JUNG DDS, INC

Practice address

6777 Westminster Blvd Ste C
Westminster, CA 92683-8057

Phone

(909) 771-4885

NPI assigned

May 1, 2019

Last updated

May 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sungkuk JungNPI 1982001152

Title

Owner Dentist

Phone

(909) 771-4885

Specialties & licenses 1

Addresses

Locations

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.

• Sungkuk Jung, D.D.S.

  • Dentist
  • Loma Linda, CA
  • NPI 1982001152
  NPD (past) Authorized official

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1659935039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26630 BARTON RD APT 1221",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734327",
            "telephone_number": "909-771-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 WESTMINSTER BLVD STE C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838057",
            "telephone_number": "909-771-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGKUK JUNG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNGKUK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-771-4885"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Westminster, CA
• Providers in Westminster, 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 May 1, 2019; 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.