Ivan W Ho DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39010 Issued in CA

Legal business name

IVAN W HO DDS INC

Practice address

24953 Paseo de Valencia
Suite 13C
Laguna Hills, CA 92653

Phone

(949) 770-4275

Fax

(949) 770-0538

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Ivan W Ho, DDS

Title

Dentist Owner

Phone

(949) 770-4275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245371970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 13C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-770-4275",
            "fax_number": "949-770-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 13C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-770-4275",
            "fax_number": "949-770-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN W HO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "949-770-4275",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.