NPIMap

Organization Active NPI

Central Dental Group

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1366510901
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41399 Issued in CA
Legal business name
CENTRAL DENTAL GROUP
Practice address
12072 E Valley Blvd.
El Monte, CA 91732
Phone
(626) 527-2200
Fax
(626) 527-2205
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Ky Lien DONPI 1255428058
Title
Owner
Phone
(626) 527-2200

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 SINGLE SPECIALTY GROUP 1223G0001X 41399 CA Primary

Addresses

Primary practice location

12072 E Valley Blvd.
El Monte, CA 91732

Mailing address

12072 E Valley Blvd.
El Monte, CA 91732
Phone (626) 527-2200

National Provider Directory

National Provider Directory
Tax ID family
Central Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12072 Valley Blvd
El Monte, CA 91732
Phone (626) 527-2200

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1366510901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12072 E VALLEY BLVD.",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-527-2200",
            "fax_number": "626-527-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12072 E VALLEY BLVD.",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-527-2200",
            "fax_number": "626-527-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "LIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-527-2200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.