Organization Active NPI

Breanna Chow DDS Dental Corporation, a Professional Corporation

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1164183992
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BREANNA CHOW DDS DENTAL CORPORATION, A PROFESSIONAL CORPORATION
Practice address
408 S Beach Blvd Ste 206a
Anaheim, CA 92804-1881
Phone
(714) 995-5168
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Breanna Gabrielle PO-Ling Chow, DDSNPI 1376023457
Title
Endodontist
Phone
(714) 995-5168

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 206a
Anaheim, CA 92804-1881

Mailing address

408 S Beach Blvd Ste 206a
Anaheim, CA 92804-1881
Phone (714) 995-5168

Other practice location 1

415 W Chapman Ave
Placentia, CA 92870-5905
Phone (714) 223-2021

National Provider Directory

National Provider Directory

Locations

408 S Beach Blvd
Ste 206A
Anaheim, CA 92804
Phone (714) 995-5168

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1164183992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 206A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041881",
            "telephone_number": "714-995-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 206A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041881",
            "telephone_number": "714-995-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928705905",
            "country_code": "US",
            "telephone_number": "714-223-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREANNA CHOW DDS DENTAL CORPORATION, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "GABRIELLE PO-LING",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "714-995-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.