Individual provider Active NPI

Anh Dac Tram Ho

  • Dentist
  • Monterey Park, CA
National Provider Identifier
1407464449
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104950 Issued in CA
Practice address
2111 S Atlantic Blvd
Monterey Park, CA 91754-6801
Phone
(323) 261-9999
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104950 CA Primary

Addresses

Primary practice location

2111 S Atlantic Blvd
Monterey Park, CA 91754-6801

Mailing address

1304 W 2ND St Apt 357
Los Angeles, CA 90026-7014
Phone (773) 750-7012

Other practice location 1

1304 W 2nd St Apt 357
Los Angeles, CA 90026-7014
Phone (773) 750-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anh Ho DMD Dental Corporation Current Accepting new patients
Central Dental Group PastSince Jul 27, 2020 Accepting new patients
Ryan S C Lee,a Professional Dental Corporation Dentist PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1407464449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W 2ND ST APT 357",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267014",
            "telephone_number": "773-750-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546801",
            "telephone_number": "323-261-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 W 2nd St Apt 357",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900267014",
            "country_code": "US",
            "telephone_number": "773-750-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "ANH",
        "middle_name": "DAC TRAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104950",
            "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 Jul 15, 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.