Organization Active NPI

Dat-Minh DO DDS Professional Dental Corp

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1346371820
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32218 Issued in CA
Legal business name
DAT-MINH DO DDS PROFESSIONAL DENTAL CORP
Practice address
516 W Garvey Ave
Monterey Park, CA 91754-2704
Phone
(626) 576-5933
NPI assigned
Mar 8, 2007
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Dat-Minh DONPI 1003992454
Title
Dentist
Phone
(626) 576-5933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 32218 CA Primary

Addresses

Primary practice location

516 W Garvey Ave
Monterey Park, CA 91754-2704

Mailing address

516 W Garvey Ave
Monterey Park, CA 91754-2704
Phone (626) 576-5933

National Provider Directory

National Provider Directory

Locations

516 W Garvey Ave
Monterey Park, CA 91754
Phone (626) 576-5933

Practitioners & affiliated clinicians

Practitioners 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1346371820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542704",
            "telephone_number": "626-576-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542704",
            "telephone_number": "626-576-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT-MINH DO DDS PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "DAT-MINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-576-5933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2018; 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.