Carlos R Chong a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

42640 Issued in CA

Legal business name

CARLOS R CHONG A PROFESSIONAL DENTAL CORPORATION

Practice address

169 Saxony Rd Ste 110
Encinitas, CA 92024-6779

Phone

(760) 634-7980

Fax

(760) 634-7982

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Roberto Chong, D.D.SNPI 1538188263

Title

President

Phone

(760) 634-7980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Roberto Chong, D.D.S

  • General Practice Dentistry
  • Encinitas, CA
  • NPI 1538188263
  NPD Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1154525590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246779",
            "telephone_number": "760-634-7980",
            "fax_number": "760-634-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246779",
            "telephone_number": "760-634-7980",
            "fax_number": "760-634-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS R CHONG A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-634-7980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas George Capetanakis, D.O.
• Valentina Caputo
• Tonia Cardenas
• Kevin Carey
• Ryan Lowry Caringola, D.C.
• Brian D. Carlos, MD
• Julie Carman, RN, BSN
• Carmel Valley First Assistants, LLC
• Carlos Miguel Carrasquel, OTR/L
• Jorge A Carrera, MD

• Dental Clinic/Center in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.