Won Jung Jeong DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49341 Issued in CA

Legal business name

WON JUNG JEONG DDS INC

Practice address

9434 Firestone Blvd
Downey, CA 90241-5504

Phone

(562) 803-9999

Fax

(562) 803-6369

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Won Jung Jeong, DDS

Title

Owner

Phone

(562) 803-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Abraham Ganguk Jeong, DDS

  • General Practice Dentistry
  • Downey, CA
  • NPI 1124949722
  NPD (past)
• Debora Jeong, DDS

  • Dentist
  • Downey, CA
  • NPI 1861271512
  NPD (past)

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1942759089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415504",
            "telephone_number": "562-803-9999",
            "fax_number": "562-803-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415504",
            "telephone_number": "562-803-9999",
            "fax_number": "562-803-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON JUNG JEONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-803-9999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalise Wintz
• Rochelle Racquel Witz
• David Wohlmuth
• Mark Wolfson, OTR/L
• Cheryl Leigh Wolgamott
• David Wong
• Dennis Wong
• Donna Lynn Wong, D.O.
• Ellen Chang Wong, MD
• Jack Wong, PHARM D

• General Practice Dentistry in Downey, CA
• Providers in Downey, 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 Sep 30, 2016; 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.