NPIMap

Organization Active NPI

Huynh and Watanabe Dental Corporation

Doing business as River Lakes Dental Group

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1225137573
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40130 Issued in CA
Legal business name
HUYNH AND WATANABE DENTAL CORPORATION
Doing business as
River Lakes Dental Group
Practice address
9510 Hageman Rd
Ste. B
Bakersfield, CA 93312-3953
Phone
(661) 829-2700
Fax
(661) 829-2770
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Dr. Phi C Huynh, DMD
Title
Owner DDS
Phone
(661) 829-2700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 40130 CA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 43860 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 37440 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 49767 CA

Addresses

Primary practice location

9510 Hageman Rd
Ste. B
Bakersfield, CA 93312-3953

Mailing address

2860 Michelle Drive
2ND Floor
Irvine, CA 92606-1009
Phone (714) 845-8890

Other names 1

  • RIVER LAKES DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

9510 Hageman Rd
Ste B
Bakersfield, CA 93312
Phone (661) 829-2700

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1225137573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-845-8890",
            "fax_number": "714-845-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 HAGEMAN RD",
            "address_2": "STE. B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123953",
            "telephone_number": "661-829-2700",
            "fax_number": "661-829-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUYNH AND WATANABE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "PHI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "661-829-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40130",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43860",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "37440",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "49767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER LAKES DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.