NPIMap

Organization Active NPI

Um Dental Inc

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1902542129
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UM DENTAL INC
Doing business as
Ivy Endotontic Group
Practice address
12865 Main St Ste 201
Garden Grove, CA 92840-8200
Phone
(714) 530-7888
Fax
(714) 530-1344
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mary Junghyun UmNPI 1952612988
Title
President
Phone
(714) 530-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12865 Main St Ste 201
Garden Grove, CA 92840-8200

Mailing address

12865 Main St Ste 201
Garden Grove, CA 92840-8200
Phone (714) 530-7888

Other names 1

  • IVY ENDOTONTIC GROUP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1902542129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 MAIN ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928408200",
            "telephone_number": "714-530-7888",
            "fax_number": "714-530-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 MAIN ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928408200",
            "telephone_number": "714-530-7888",
            "fax_number": "714-530-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JUNGHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-530-7888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVY ENDOTONTIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.