Jui-Min Su, D.D.S., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

57138 Issued in CA

Practice address

4275 E. Concours,
Suite 105
Ontario, CA 91764-5901

Phone

(951) 736-0876

Fax

(951) 736-0876

NPI assigned

Jul 14, 2006

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Jui-Min Su, D.D.S., M.S., Professional Corporation

  dba Purity and Wellness Dentistry

  • Dental Clinic/Center
  • Ontario, CA
  • NPI 1184938532
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1841216561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 RASPBERRY CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928807297",
            "telephone_number": "713-303-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 E. CONCOURS,",
            "address_2": "SUITE 105",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645901",
            "telephone_number": "951-736-0876",
            "fax_number": "951-736-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JUI-MIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "20814",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "57138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nori Struckmeyer
• Stuart and Esparza DDS, Inc
• Jonathan A Stuart, DDS
• Hannah Marie Sturgis
• Stephen Styadi, PHYSICIAN ASSISTANT
• Wen Hui Su
• Martha Suarezescobedo
• Soumya Suddala
• Aria Sueing
• Delorean Sulcer

• Prosthodontics in Ontario, CA
• Providers in Ontario, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.