Organization Active NPI

Wai Keung So DDS Ms Inc

  • Dentist
  • Cypress, CA
National Provider Identifier
1407079148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29477 Issued in CA
Legal business name
WAI KEUNG SO DDS MS INC
Practice address
9907 Walker St
Cypress, CA 90630-3827
Phone
(714) 952-1881
Fax
(714) 633-6688
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wai Keung So, DDSNPI 1366633794
Title
President
Phone
(714) 952-1881

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 29477 CA Primary

Addresses

Primary practice location

9907 Walker St
Cypress, CA 90630-3827

Mailing address

9907 Walker St
Cypress, CA 90630-3827
Phone (714) 952-1881

Other identifiers 1

IdentifierTypeStateIssuer
B2947701OtherCACA DEPT OF HEALTH SERVICE

National Provider Directory

National Provider Directory

Locations

9907 Walker St
Cypress, CA 90630
Phone (714) 581-8585

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407079148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303827",
            "telephone_number": "714-952-1881",
            "fax_number": "714-633-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303827",
            "telephone_number": "714-952-1881",
            "fax_number": "714-633-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAI KEUNG SO DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "WAI KEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-952-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPT OF HEALTH SERVICE",
            "identifier": "B2947701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.