Diamond Bar Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAMOND BAR DENTAL GROUP

Practice address

2040 S. Brea Canyon Rd
Ste 210
Diamond Bar, CA 91765-4008

Phone

(909) 396-0077

NPI assigned

Aug 31, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Chae

Title

Owner

Phone

(909) 396-0077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Song Hoe Koo

  • Periodontics
  • Diamond Bar, CA
  • NPI 1598924292
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1194919290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S BREA CANYON RD",
            "address_2": "STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654008",
            "telephone_number": "909-396-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S. BREA CANYON RD",
            "address_2": "STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654008",
            "telephone_number": "909-396-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BAR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-396-0077",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, 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 Dec 6, 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.