Kai Su DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KAI SU DMD INC

Practice address

8961 Heil Ave
Westminster, CA 92683-7846

Phone

(714) 847-2232

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Kai Su, DMD

Title

President

Phone

(952) 426-5189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1295368652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 HEIL AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 HEIL AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837846",
            "telephone_number": "714-847-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAI SU DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-426-5189",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Gan Justen, P.T.
• Lisa Justice, L.P.T.
• Justin Tony Chung DDS, Inc
• Stepan Kadyrov
• Evangelia Kafcalas
• Kaiser Permanente
• Christopher Kaldas, RPH
• Katie Kamikubo
• Edward Yung-Yu Kao, D.C.
• Elaine Kao, O.D.

• General Practice Dentistry in Westminster, CA
• Providers in Westminster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.