Active NPI
Hyun Sung
- Dentist
- Joshua Tree, CA
National Provider Identifier
1689384166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107823
- Practice address
- 61325 Twentynine Palms Highway a
Joshua Tree, CA 92252 - Phone
- (760) 366-0420
- NPI assigned
- Nov 25, 2022
- Last updated
- Nov 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107823 | CA | Primary |
Addresses
Primary practice location
61325 Twentynine Palms Highway a
Joshua Tree, CA 92252
Mailing address
26362 Santa Andrea St
Loma Linda, CA 92354-4181
Phone (909) 264-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107823 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee, Wee& Baek.DDS.Inc | Dentist | Past | Accepting new patients |
| Jin Nam Baek, DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Joshua Tree, CA
- NPI 1609018381
-
- Dentist
- Joshua Tree, CA
- NPI 1265602783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1689384166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26362 SANTA ANDREA ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923544181",
"telephone_number": "909-264-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61325 TWENTYNINE PALMS HIGHWAY A",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "92252",
"telephone_number": "760-366-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "HYUN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joshua Tree, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.