NPIMap

Organization Active NPI

JH Chun Dental Corporation

Doing business as Dental Kidz Club

  • Dental Clinic/Center
  • Riverside, CA
National Provider Identifier
1831496991
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JH CHUN DENTAL CORPORATION
Doing business as
Dental Kidz Club
Practice address
4140 Tyler St
Riverside, CA 92503-3445
Phone
(951) 324-1480
NPI assigned
Feb 24, 2011
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Jihee Chun, DDS
Title
President
Phone
(909) 648-3707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
General Practice Dentistry 1223G0001X 52047 CA

Addresses

Primary practice location

4140 Tyler St
Riverside, CA 92503-3445

Mailing address

210 W C St
Ontario, CA 91762-3404
Phone (909) 984-4444

Other practice location 1

210 W C St
Ontario, CA 91762-3404
Phone (909) 984-4444

Other names 1

  • Dental Kidz Club Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Kidz Club5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1831496991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W C ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623404",
            "telephone_number": "909-984-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 TYLER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033445",
            "telephone_number": "951-324-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W C St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623404",
            "country_code": "US",
            "telephone_number": "909-984-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JH CHUN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2022-08-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-648-3707",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Kidz Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.