NPIMap

Organization Active NPI

Children Dental Care Center

  • Pediatric Dentistry
  • Corona, CA
National Provider Identifier
1205258886
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38660 Issued in CA
Legal business name
CHILDREN DENTAL CARE CENTER
Practice address
2079 Compton Ave Ste 101B
Corona, CA 92881-7284
Phone
(951) 403-6288
Fax
(626) 369-1186
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Joseph Chen-Der Chiang
Title
Pediatric Dentist
Phone
(626) 369-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38660 CA Primary

Addresses

Primary practice location

2079 Compton Ave Ste 101B
Corona, CA 92881-7284

Mailing address

2079 Compton Ave Ste 101B
Corona, CA 92881-7284
Phone (951) 403-6288

National Provider Directory

National Provider Directory
Tax ID family
Chen-Der Chiang DDS a Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2079 Compton Ave
Ste 101-B
Corona, CA 92881
Phone (951) 403-6288

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1205258886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 COMPTON AVE STE 101B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817284",
            "telephone_number": "951-403-6288",
            "fax_number": "626-369-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 COMPTON AVE STE 101B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817284",
            "telephone_number": "951-403-6288",
            "fax_number": "626-369-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN DENTAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHEN-DER",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "626-369-1177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38660",
            "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 Jan 15, 2014; 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.