Individual provider Active NPI

Ming Ren Zhang

  • Dentist
  • La Puente, CA
National Provider Identifier
1114565264
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103981 Issued in CA
Practice address
1240 N Hacienda Blvd Ste 103
La Puente, CA 91744-1663
Phone
(269) 312-5256
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103981 CA Primary

Addresses

Primary practice location

1240 N Hacienda Blvd Ste 103
La Puente, CA 91744-1663

Mailing address

7930 Hershey St
Rosemead, CA 91770-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ming Ren Zhang DDS Inc a Professional Corporation Current Accepting new patients
Ming Zhang DDS Inc. Current Accepting new patients
Michael Abaian DDS Inc Dentist PastSince Dec 1, 2019 Accepting new patients

Locations

1240 N Hacienda Blvd
Ste 103
La Puente, CA 91744
Phone (626) 931-2525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1114565264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 HERSHEY ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD STE 103",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441663",
            "telephone_number": "269-312-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MING",
        "middle_name": "REN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.