Individual provider Active NPI

Chloe Catherine Coo Lacson, RDH, RDHAP, DDS

  • Dentist
  • Chino, CA
National Provider Identifier
1235710013
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106870 Issued in CA
Practice address
12345 Mountain Ave Ste O
Chino, CA 91710-2783
Phone
(909) 364-1330
NPI assigned
Apr 14, 2021
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH27436 CA
Dentist 122300000X 106870 CA Primary

Addresses

Primary practice location

12345 Mountain Ave Ste O
Chino, CA 91710-2783

Mailing address

12345 Mountain Ave Ste O
Chino, CA 91710-2783
Phone (909) 364-1330

Other names 1

  • Catherine Lacdan Coo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106870CAMDDentist
RDH27436CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Chloe Coo Lacson DDS Inc CurrentSince Nov 12, 2023 Accepting new patients

Locations

12345 Mountain Ave
Ste O
Chino, CA 91710
Phone (909) 364-1330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1235710013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE STE O",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-364-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE STE O",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-364-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "CHLOE CATHERINE",
        "middle_name": "COO",
        "name_prefix": "Dr.",
        "credential": "RDH, RDHAP, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH27436",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "COO",
            "middle_name": "LACDAN",
            "credential": "RDH, RDHAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.