Eun S Kyung, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50630 Issued in CA

Practice address

1219 N Pacific Ave
Glendale, CA 91202-1619

Phone

(818) 550-0830

Fax

(818) 550-9130

NPI assigned

Mar 29, 2007

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Thanksgiving Dental Inc

  dba Thanksgiving Dentistry

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1568227668
  NPD Authorized official
• Soonki Lee DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1033618681
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1871613372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021619",
            "telephone_number": "818-550-0830",
            "fax_number": "818-550-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021619",
            "telephone_number": "818-550-0830",
            "fax_number": "818-550-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYUNG",
        "first_name": "EUN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Noriyuki Kutsunai, M.D.
• KVP Pharmacy
• Raymond Kwok, D.M.D.
• Kyoo S, Ro, M.D., Inc.
• Kyrillos Medical Group,Inc
• Levon Kyupelyan, MD
• L & G Adult Day Health Care Center Inc
• L & N Home Health
• L & T Home Health Inc
• L a County Hospice Inc

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.