Organization Active NPI

J.H.Son, DDS, Apc

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1669534038
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49996 Issued in CA
Legal business name
J.H.SON, DDS, APC
Doing business as
NEW MILLENNIUM DENTISTRY
Practice address
1363 Oliver Rd
Ste. a
Fairfield, CA 94534-3470
Phone
(707) 429-1708
Fax
(707) 429-1794
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Jeong Hwan Son, DDS
Title
Owner
Phone
(707) 429-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49996 CA Primary

Addresses

Primary practice location

1363 Oliver Rd
Ste. a
Fairfield, CA 94534-3470

Mailing address

1363 Oliver Rd
Ste. a
Fairfield, CA 94534-3470
Phone (707) 429-1708

Other names 1

  • NEW MILLENNIUM DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

1363 Oliver Rd
Ste A
Fairfield, CA 94534
Phone (707) 429-1708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1669534038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 OLIVER RD",
            "address_2": "STE. A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343470",
            "telephone_number": "707-429-1708",
            "fax_number": "707-429-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 OLIVER RD",
            "address_2": "STE. A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343470",
            "telephone_number": "707-429-1708",
            "fax_number": "707-429-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H.SON, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "JEONG HWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-429-1708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW MILLENNIUM DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.