Organization Active NPI

Kevin Chiang DDS Dental Corp

  • Dental Clinic/Center
  • Northridge, CA
National Provider Identifier
1366034993
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEVIN CHIANG DDS DENTAL CORP
Practice address
18250 Roscoe Blvd Ste 345
Northridge, CA 91325-4283
Phone
(310) 564-6231
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Kevin Chiang, DDSNPI 1053744177
Title
Ceo
Phone
(310) 564-6231

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

18250 Roscoe Blvd Ste 345
Northridge, CA 91325-4283

Mailing address

2829 La Bonita Dr
Hacienda Heights, CA 91745-5151

National Provider Directory

National Provider Directory

Locations

18250 Roscoe Blvd
Ste 345
Northridge, CA 91325
Phone (310) 564-6231

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1366034993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 LA BONITA DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 345",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254283",
            "telephone_number": "310-564-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CHIANG DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-564-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.