Active NPI
Dong Hwan Hwang
- General Practice Dentistry
- Yucca Valley, CA
National Provider Identifier
1942961735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 106468
- Practice address
- 7024 Airway Ave
Yucca Valley, CA 92284-3069 - Phone
- (760) 365-2351
- NPI assigned
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 106468 | CA | Primary |
Addresses
Primary practice location
7024 Airway Ave
Yucca Valley, CA 92284-3069
Mailing address
31996 Teal CT
Yucaipa, CA 92399-7205
Phone (909) 835-0362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106468 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1942961735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31996 TEAL CT",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923997205",
"telephone_number": "909-835-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7024 AIRWAY AVE",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843069",
"telephone_number": "760-365-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "DONG",
"middle_name": "HWAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.