Organization Active NPI

Escutin & Uy,a Professional Dental Corp.

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1164632071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36625 Issued in CA
Legal business name
ESCUTIN & UY,A PROFESSIONAL DENTAL CORP.
Practice address
3848 N McKinley St
Suite D
Corona, CA 92879-6569
Phone
(951) 371-2424
Fax
(951) 371-2423
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kim Hua A Uy, D.M.D.
Title
Dentist Treasurer
Phone
(951) 371-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36625 CA Primary

Addresses

Primary practice location

3848 N McKinley St
Suite D
Corona, CA 92879-6569

Mailing address

3848 N McKinley St
Suite D
Corona, CA 92879-6569
Phone (951) 371-2424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164632071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 N MCKINLEY ST",
            "address_2": "SUITE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796569",
            "telephone_number": "951-371-2424",
            "fax_number": "951-371-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 N MCKINLEY ST",
            "address_2": "SUITE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796569",
            "telephone_number": "951-371-2424",
            "fax_number": "951-371-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCUTIN & UY,A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "KIM HUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST TREASURER",
        "authorized_official_telephone_number": "951-371-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.