Jung and 3Kims Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JUNG AND 3KIMS DENTAL GROUP

Practice address

1535 E Highland Ave Ste F
San Bernardino, CA 92404-4682

Phone

(909) 356-6852

NPI assigned

Jun 9, 2020

Organization subpart

Yes

Parent organization

JUNG AND 3KIMS DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Sandra Rangel

Title

Regional Manager

Phone

(909) 453-0244

Specialties & licenses 1

Addresses

Part of

Jung and 3Kims Dental Group

Locations

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1730704495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 E HIGHLAND AVE STE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E HIGHLAND AVE STE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044682",
            "telephone_number": "909-356-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG AND 3KIMS DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUNG AND 3KIMS DENTAL GROUP",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "909-453-0244"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.