Organization Active NPI

Kitichai Rungcharassaeng DDS, Ms, and Howard Lee, DMD, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Claremont, CA
National Provider Identifier
1083218424
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KITICHAI RUNGCHARASSAENG DDS, MS, AND HOWARD LEE, DMD, MS, INC
Practice address
540 W. Baseline Rd
Ste 12
Claremont, CA 91711
Phone
(909) 626-8501
NPI assigned
Nov 25, 2020
Last updated
Nov 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Kera Ung
Title
Medical Biller
Phone
(626) 460-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

540 W. Baseline Rd
Ste 12
Claremont, CA 91711

Mailing address

540 W. Baseline Rd
Ste 12
Claremont, CA 91711
Phone (909) 626-8501

Other names 1

  • Baseline Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

540 W Baseline Rd
Ste 12
Claremont, CA 91711
Phone (909) 626-8501

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1083218424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W. BASELINE RD",
            "address_2": "STE 12",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-626-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W. BASELINE RD",
            "address_2": "STE 12",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-626-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITICHAI RUNGCHARASSAENG DDS, MS, AND HOWARD LEE, DMD, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "UNG",
        "authorized_official_first_name": "KERA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "626-460-0604"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baseline Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.