Active NPI
Kangna Nou Garnier, D.D.S.
- General Practice Dentistry
- Chino, CA
National Provider Identifier
1275854036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58902
- Practice address
- 13197 Central Ave
Suite 103
Chino, CA 91710-4178 - Phone
- (909) 627-8501
- NPI assigned
- Jun 16, 2010
- Last updated
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58902 | CA | Primary |
Addresses
Primary practice location
13197 Central Ave
Suite 103
Chino, CA 91710-4178
Mailing address
10151 Arrow Rte
Apt. 48
Rancho Cucamonga, CA 91730-4765
Phone (909) 418-1966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58902 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doc Chung Dental Group - Chino, Inc. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Chino, CA
- NPI 1124556469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1275854036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 ARROW RTE",
"address_2": "APT. 48",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304765",
"telephone_number": "909-418-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13197 CENTRAL AVE",
"address_2": "SUITE 103",
"city": "CHINO",
"state": "CA",
"postal_code": "917104178",
"telephone_number": "909-627-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNIER",
"first_name": "KANGNA",
"middle_name": "NOU",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Garfield Beach CVS LLC (CVS Pharmacy #16338)
- Steven Lee Garman, PSYD
- Gary T. Lai, M.D.
- Gary W Stablein MD Mba Inc
- Michelle J Gasper, LMFT
- Margareta M. Gavrila, DDS
- Gemmel Pharmacy of Chino
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.