Myat Min Htut, DDS, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MYAT MIN HTUT, DDS, INC

Practice address

20709 Golden Springs Dr Ste 202
Walnut, CA 91789-3847

Phone

(909) 594-0518

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Myat HtutNPI 1073949541

Title

Ceo

Phone

(626) 466-5492

Specialties & licenses 1

Addresses

Other names 1

• Prestige Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myat Htut, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Walnut, CA
  • NPI 1073949541
  NPD Authorized official
• Sandra L Yen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rohnert Park, CA
  • NPI 1578956447
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589068800000",
    "number": "1316587793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20709 GOLDEN SPRINGS DR STE 202",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20709 GOLDEN SPRINGS DR STE 202",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893847",
            "telephone_number": "909-594-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYAT MIN HTUT, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A",
        "authorized_official_last_name": "HTUT",
        "authorized_official_first_name": "MYAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-466-5492"
    },
    "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": [
        {
            "organization_name": "Prestige Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Walnut, CA
• Providers in Walnut, 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 May 10, 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.