Ava Kung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109997 Issued in CA

Practice address

740 S Indian Hill Blvd
Claremont, CA 91711-5400

Phone

(909) 962-6625

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1710663141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 GALINDO CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356600",
            "telephone_number": "408-791-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115400",
            "telephone_number": "909-962-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1449 W Duranta Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Alamo",
            "state": "TX",
            "postal_code": "785162328",
            "country_code": "US",
            "telephone_number": "956-232-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNG",
        "first_name": "AVA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39972",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Gaudineer Knutzen, NP
• Nicole Ilanah Kohan, OD
• Thomas Christopher Kono-Flores, D.D.S.
• Jasmina Koprivica, OD
• Mary Kathleen Krater, M.A., CCC-SLP
• Joshua Kusumo, D.D.S
• Mukesh Jayantilal Kuvadia, PA
• Labtech Inc
• Yen Ingrid Lai, MD
• Yong Lai, D.D.S

• Dentist in Claremont, CA
• Providers in Claremont, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.