Active NPI
Omega Family Dental
- General Practice Dentistry
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44153
- Legal business name
- OMEGA FAMILY DENTAL
- Practice address
- 816 W Willow St
Long Beach, CA 90806-2837 - Phone
- (562) 595-7077
- Fax
- (562) 490-4727
- NPI assigned
- Dec 12, 2017
- Last updated
- Dec 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ted Chan
- Title
- Doctor
- Phone
- (562) 595-7077
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44153 | CA | Primary |
| Periodontics | 1223P0300X | 46396 | CA |
Addresses
Primary practice location
816 W Willow St
Long Beach, CA 90806-2837
Mailing address
816 W Willow St
Long Beach, CA 90806-2837
Phone (562) 595-7077
National Provider Directory
National Provider Directory- Tax ID family
- Elizabeth L Hoang DMD Ted Chan DMD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Coastal Dental Care
- Dentist
- Long Beach, CA
- NPI 1518465715
Locations
816 W Willow St
Long Beach, CA 90806
Phone (562) 595-7077
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Coastal Dental Care
- Dentist
- Long Beach, CA
- NPI 1518465715
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1508997784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1396250353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 W WILLOW ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062837",
"telephone_number": "562-595-7077",
"fax_number": "562-490-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 W WILLOW ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062837",
"telephone_number": "562-595-7077",
"fax_number": "562-490-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "TED",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "562-595-7077",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44153",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "46396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.