Active NPI
Kelvin Chou DDS, Inc
- Endodontics
- San Diego, CA
National Provider Identifier
1093558819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- KELVIN CHOU DDS, INC
- Practice address
- 6235 Lusk Blvd
San Diego, CA 92121-2731 - Phone
- (858) 558-3636
- NPI assigned
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelvin Chou, DDS
- Title
- Owner Dentist
- Phone
- (858) 558-3636
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary | ||
| General Practice Dentistry | 1223G0001X |
Addresses
Primary practice location
6235 Lusk Blvd
San Diego, CA 92121-2731
Mailing address
6235 Lusk Blvd
San Diego, CA 92121-2731
Phone (858) 558-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102140 | Other | CA | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
6235 Lusk Blvd
San Diego, CA 92121
Phone (858) 558-3636
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- San Diego, CA
- NPI 1306156823
-
- General Practice Dentistry
- San Diego, CA
- NPI 1992846174
-
- Endodontics
- San Diego, CA
- NPI 1811033103
-
- Endodontics
- San Diego, CA
- NPI 1346268109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1093558819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 LUSK BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212731",
"telephone_number": "858-558-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6235 LUSK BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212731",
"telephone_number": "858-558-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELVIN CHOU DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "CHOU",
"authorized_official_first_name": "KELVIN",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "858-558-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "102140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.