Katchooi Dental Group Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KATCHOOI DENTAL GROUP INC

Practice address

12630 Monte Vista Rd Ste 108
Poway, CA 92064-2526

Phone

(858) 312-5242

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Mina Katchooi, DDS

Title

Owner

Phone

(478) 390-1960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1295465367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 INCEPTION WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085122",
            "telephone_number": "478-390-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-312-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATCHOOI DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "KATCHOOI",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-390-1960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Chester Joswig, MD
• Paul Chun-Pu Jou, M.D., M.S.
• Sydnie Meagan Joyce
• Julio H. Alonso, DDS a Professional Corporation
• Julie B. Jurf, RN
• Kathy Clewell MD P.C.
• Marina Katz, MD
• Allison Renee Kaup, PHD
• Satinder Kaur
• Kaz a. Newman & Associates

• Orthodontics and Dentofacial Orthopedics Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.