Eddie K. Kao DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56773 Issued in CA

Legal business name

EDDIE K. KAO DDS INC.

Doing business as

Eddie Kao DDS Family Dentistry

Practice address

933 S Sunset Ave
Suite 203
West Covina, CA 91790-3410

Phone

(626) 962-5415

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie Kao

Title

Ceo

Phone

(626) 962-5415

Specialties & licenses 1

Addresses

Other names 1

• Eddie Kao DDS Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1275810251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE",
            "address_2": "SUITE 203",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE",
            "address_2": "SUITE 203",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-962-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE K. KAO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-962-5415"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddie Kao DDS Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.