Organization Active NPI

J. Ahn Dental Corporation

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1972007904
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46452 Issued in CA
Legal business name
J. AHN DENTAL CORPORATION
Practice address
27800 Medical Center Rd Ste 238
Mission Viejo, CA 92691-6408
Phone
(949) 364-0220
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Dr. Junil Ahn, DDS, MD
Title
President
Phone
(949) 793-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46452 CA Primary

Addresses

Primary practice location

27800 Medical Center Rd Ste 238
Mission Viejo, CA 92691-6408

Mailing address

27800 Medical Center Rd Ste 238
Mission Viejo, CA 92691-6408
Phone (949) 364-0220

Other practice location 1

3698 S Bristol St
Santa Ana, CA 92704-7302
Phone (714) 540-8000

National Provider Directory

National Provider Directory

Locations

27800 Medical Center Rd
Ste 238
Mission Viejo, CA 92691
Phone (949) 364-0220

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1972007904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 238",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916408",
            "telephone_number": "949-364-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 238",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916408",
            "telephone_number": "949-364-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3698 S Bristol St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047302",
            "country_code": "US",
            "telephone_number": "714-540-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J. AHN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-793-2316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.