Organization Active NPI

Jinyong Chun DDS Inc

  • Dentist
  • Yucca Valley, CA
National Provider Identifier
1811319080
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61416 Issued in CA
Legal business name
JINYONG CHUN DDS INC
Practice address
7255 Joshua LN
Ste B
Yucca Valley, CA 92284-2948
Phone
(760) 365-8331
Fax
(760) 228-5870
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Jin Yong Chun, D.D.S
Title
C.E.O
Phone
(909) 472-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 61416 CA Primary

Addresses

Primary practice location

7255 Joshua LN
Ste B
Yucca Valley, CA 92284-2948

Mailing address

7255 Joshua LN
Ste B
Yucca Valley, CA 92284-2948
Phone (760) 365-8331

National Provider Directory

National Provider Directory

Locations

7255 Joshua Ln
Ste B
Yucca Valley, CA 92284
Phone (760) 365-8331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1811319080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 JOSHUA LN",
            "address_2": "STE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842948",
            "telephone_number": "760-365-8331",
            "fax_number": "760-228-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 JOSHUA LN",
            "address_2": "STE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842948",
            "telephone_number": "760-365-8331",
            "fax_number": "760-228-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINYONG CHUN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIN YONG",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "909-472-5810",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.