Cindy H. Ly, DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54014 Issued in CA

Legal business name

CINDY H. LY, DDS INC

Practice address

3774 Clairemont Dr
San Diego, CA 92117-5916

Phone

(858) 274-1219

NPI assigned

Nov 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Cindy Hong Ly, DDS

Title

Owner Dentist

Phone

(909) 689-9279

Specialties & licenses 1

Addresses

Other names 1

• Friendly Family Dental Doing business as

Locations

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1174952121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 PALESTRINA WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360242",
            "telephone_number": "909-689-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175916",
            "telephone_number": "858-274-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY H. LY, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-689-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.