Organization Active NPI

Daniel Wonil Hwang DDS Inc

  • Dental Clinic/Center
  • Fontana, CA
National Provider Identifier
1770879439
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL WONIL HWANG DDS INC
Practice address
17695 Arrow Blvd Ste J
Fontana, CA 92335-4041
Phone
(909) 356-8074
Fax
(909) 356-8084
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Daniel Wonil Hwang, DDS
Title
President/DDS
Phone
(818) 764-0113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47096 CA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17695 Arrow Blvd Ste J
Fontana, CA 92335-4041

Mailing address

17695 Arrow Blvd Ste J
Fontana, CA 92335-4041
Phone (909) 356-8074

National Provider Directory

National Provider Directory

Locations

17695 Arrow Blvd
Ste J
Fontana, CA 92335
Phone (909) 356-8074

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1770879439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD STE J",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-356-8074",
            "fax_number": "909-356-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD STE J",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-356-8074",
            "fax_number": "909-356-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WONIL HWANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WONIL",
        "authorized_official_title_or_position": "PRESIDENT/DDS",
        "authorized_official_telephone_number": "818-764-0113",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47096",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.