Organization Active NPI

Phillip Z Kaw Dental Corporation

Doing business as East West Dental Center

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1346363785
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B40627-03 Issued in CA
Legal business name
PHILLIP Z KAW DENTAL CORPORATION
Doing business as
East West Dental Center
Practice address
635 E Garvey Ave
Monterey Park, CA 91755-1910
Phone
(626) 288-6622
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Phillip Z KawNPI 1780718106
Title
President
Phone
(626) 288-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X B40627-03 CA Primary

Addresses

Primary practice location

635 E Garvey Ave
Monterey Park, CA 91755-1910

Mailing address

635 E Garvey Ave
Monterey Park, CA 91755-1910
Phone (626) 288-6622

Other names 1

  • EAST WEST DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East West Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

635 E Garvey Ave
Monterey Park, CA 91755
Phone (626) 288-6622

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1346363785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551910",
            "telephone_number": "626-288-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551910",
            "telephone_number": "626-288-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP Z KAW DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "KAW",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-6622",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B40627-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST WEST DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.