Individual provider Active NPI

Chong Hon Rha, D D S

  • General Practice Dentistry
  • La Mirada, CA
National Provider Identifier
1245406479
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D40300 Issued in CA
Practice address
14229 Imperial Hwy
La Mirada, CA 90638-1941
Phone
(562) 777-1725
Fax
(562) 777-7077
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D40300 CA Primary

Addresses

Primary practice location

14229 Imperial Hwy
La Mirada, CA 90638-1941

Mailing address

14229 Imperial Hwy
La Mirada, CA 90638-1941
Phone (562) 777-1725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220001415 CA Practitioner - Dentist 9739483314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D40300CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chong H Rha DDS Inc General Practice CurrentSince Nov 15, 2022 Accepting new patients

Locations

14229 Imperial Hwy
La Mirada, CA 90638
Phone (562) 777-1725

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1245406479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14229 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381941",
            "telephone_number": "562-777-1725",
            "fax_number": "562-777-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14229 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381941",
            "telephone_number": "562-777-1725",
            "fax_number": "562-777-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHA",
        "first_name": "CHONG",
        "middle_name": "HON",
        "name_prefix": "Dr.",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D40300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.