Katherine Grace Ogtong, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

D48975 Issued in CA

Legal business name

KATHERINE GRACE OGTONG, DDS, INC.

Practice address

20200 Saticoy St
Suite E
Winnetka, CA 91306-4464

Phone

(818) 775-9994

Fax

(818) 775-9696

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Grace Ogtong, DDSNPI 1033590948

Title

President

Phone

(818) 775-9994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Katherine Ogtong

  • Dentist
  • Winnetka, CA
  • NPI 1033590948
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1174660864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20200 SATICOY ST",
            "address_2": "SUITE E",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064464",
            "telephone_number": "818-775-9994",
            "fax_number": "818-775-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 SATICOY ST",
            "address_2": "SUITE E",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064464",
            "telephone_number": "818-775-9994",
            "fax_number": "818-775-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE GRACE OGTONG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "OGTONG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-775-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D48975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "D48975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Janolo, PHARM D.
• Maria Del Socorro Jimenez, RN
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• Lateef O Kadara
• Mona Kasondra
• Kathryn Hostettler Licensed Clinical Social Worker Wellness, Inc.
• Simrandeep Kaur, DDS
• Misa Kawamoto
• Shahnoor Ahmed Khan
• Shahtaj Khan, AMFT

• Dentist in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.