Organization Active NPI

Charng Shing Jean Dental Corporation

  • Dentist
  • Irvine, CA
National Provider Identifier
1003537945
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHARNG SHING JEAN DENTAL CORPORATION
Practice address
4200 Trabuco Rd Ste 130
Irvine, CA 92620-3622
Phone
(949) 551-4737
Fax
(949) 551-0180
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Charng Shing Jean, DDS
Title
Owner
Phone
(494) 551-4737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

4200 Trabuco Rd Ste 130
Irvine, CA 92620-3622

Mailing address

4200 Trabuco Rd Ste 130
Irvine, CA 92620-3622
Phone (949) 551-4737

Other practice location 1

219 E 17th St
Santa Ana, CA 92706-2802
Phone (714) 667-0161

National Provider Directory

National Provider Directory
Tax ID family
Charng Shing Jean Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 Trabuco Rd
Ste 130
Irvine, CA 92620
Phone (949) 551-4737

Practitioners & affiliated clinicians

Practitioners 6

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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1003537945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203622",
            "telephone_number": "949-551-4737",
            "fax_number": "949-551-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203622",
            "telephone_number": "949-551-4737",
            "fax_number": "949-551-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927062802",
            "country_code": "US",
            "telephone_number": "714-667-0161",
            "fax_number": "714-667-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARNG SHING JEAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "CHARNG",
        "authorized_official_middle_name": "SHING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "494-551-4737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.