Individual provider Active NPI

Jonathan S Won, DDS

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1760650600
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44125 Issued in CA
Practice address
39522 10TH St W Ste C
Palmdale, CA 93551-3757
Phone
(661) 433-4061
Fax
(661) 287-1592
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44125 CA Primary

Addresses

Primary practice location

39522 10TH St W Ste C
Palmdale, CA 93551-3757

Mailing address

39522 10TH St W Ste C
Palmdale, CA 93551-3757
Phone (661) 267-5700

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

LicenseStateTypeSpecialty
44125CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Won'S DDS Dental, Inc. General Practice Current Accepting new patients
Won J DDS Dental, Inc. CurrentSince Jun 9, 2024 Accepting new patients
Jonathan S. Won DDS Inc General Practice PastSince Jun 9, 2024 Accepting new patients
Sunyong J Won DDS Inc General Practice Past Accepting new patients

Locations

39522 10th St W
Ste C
Palmdale, CA 93551
Phone (661) 267-5700

2535 W Rosamond Blvd
Ste B
Rosamond, CA 93560
Phone (310) 968-1323

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1760650600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-267-5700",
            "fax_number": "661-267-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-433-4061",
            "fax_number": "661-287-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.