NPIMap

Organization Active NPI

Byun and Patel, a Dental Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1669866687
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48707 Issued in CA
Legal business name
BYUN AND PATEL, A DENTAL CORPORATION
Practice address
1105 S Euclid St
Suite E
Fullerton, CA 92832-2850
Phone
(714) 738-0304
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Jung Wook Byun, DDS
Title
President
Phone
(949) 878-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48707 CA Primary

Addresses

Primary practice location

1105 S Euclid St
Suite E
Fullerton, CA 92832-2850

Mailing address

1105 S Euclid St
Suite E
Fullerton, CA 92832-2850
Phone (714) 738-0304

Other identifiers 2

IdentifierTypeStateIssuer
1104960574OtherCADENTI CAL
1801936968OtherCADENTI CAL

Other names 1

  • iSmile Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Byun and Patel a Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1105 S Euclid St
Ste E
Fullerton, CA 92832
Phone (714) 738-0304

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1669866687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S EUCLID ST",
            "address_2": "SUITE E",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322850",
            "telephone_number": "714-738-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S EUCLID ST",
            "address_2": "SUITE E",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322850",
            "telephone_number": "714-738-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUN AND PATEL, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "JUNG WOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-878-6680",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "1104960574",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "1801936968",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.