Organization Active NPI

Kwok Chen and Kim Dental Group

  • General Practice Dentistry
  • South Pasadena, CA
National Provider Identifier
1154878999
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56529 Issued in CA
Legal business name
KWOK CHEN AND KIM DENTAL GROUP
Practice address
1928 Huntington Dr
South Pasadena, CA 91030-4874
Phone
(626) 799-1252
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Dr. Raymond Kwok, DMD
Title
Owern/Doctor
Phone
(626) 799-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56529 CA Primary

Addresses

Primary practice location

1928 Huntington Dr
South Pasadena, CA 91030-4874

Mailing address

1928 Huntington Dr
South Pasadena, CA 91030-4874
Phone (626) 799-1252

National Provider Directory

National Provider Directory

Locations

1928 Huntington Dr
South Pasadena, CA 91030
Phone (626) 441-5000

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1154878999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304874",
            "telephone_number": "626-799-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304874",
            "telephone_number": "626-799-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWOK CHEN AND KIM DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWERN/DOCTOR",
        "authorized_official_telephone_number": "626-799-1258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.