Active NPI
Anna Chandsawangbhuwana, DDS
- Pediatric Dentistry
- Irvine, CA
National Provider Identifier
1134242548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 53056
- Practice address
- 18124 Culver Dr Ste E
Irvine, CA 92612-2729 - Phone
- (949) 786-0800
- Fax
- (949) 551-1209
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 53056 | CA | Primary |
Addresses
Primary practice location
18124 Culver Dr Ste E
Irvine, CA 92612-2729
Mailing address
273 Stanford CT
Irvine, CA 92612-1666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53056 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1134242548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 STANFORD CT",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18124 CULVER DR STE E",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122729",
"telephone_number": "949-786-0800",
"fax_number": "949-551-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDSAWANGBHUWANA",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "53056",
"primary": true
}
],
"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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.