NPIMap

Organization Active NPI

Phyllis K. Kawada, DDS, Ms, a Professional Corporation

  • Dental Clinic/Center
  • La Habra, CA
National Provider Identifier
1023204682
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49558 Issued in CA
Legal business name
PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION
Practice address
2250 W Whittier Blvd
Suite 200
La Habra, CA 90631-3403
Phone
(562) 690-3750
Fax
(562) 690-3439
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Phyllis Kawada, DDS, MSNPI 1144331323
Title
President
Phone
(562) 690-3750

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 49558 CA Primary

Addresses

Primary practice location

2250 W Whittier Blvd
Suite 200
La Habra, CA 90631-3403

Mailing address

2250 W Whittier Blvd
Suite 200
La Habra, CA 90631-3403
Phone (562) 690-3750

Other names 1

  • Center for Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Pediatric Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2250 W Whittier Blvd
Ste 200
La Habra, CA 90631
Phone (562) 690-1199

Practitioners & affiliated clinicians

Practitioners 3

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1023204682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W WHITTIER BLVD",
            "address_2": "SUITE 200",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313403",
            "telephone_number": "562-690-3750",
            "fax_number": "562-690-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W WHITTIER BLVD",
            "address_2": "SUITE 200",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313403",
            "telephone_number": "562-690-3750",
            "fax_number": "562-690-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "KAWADA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-690-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.