NPIMap

Organization Active NPI

Phyllis K. Kawada, DDS, Ms, a Professional Corporation

Doing business as Center for Pediatric Dentistry Surgery Center

  • Ambulatory Surgical Clinic/Center
  • La Habra, CA
National Provider Identifier
1437633872
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION
Doing business as
Center for Pediatric Dentistry Surgery Center
Practice address
731 N Beach Blvd Ste 120
La Habra, CA 90631-3690
Phone
(562) 226-1636
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Dr. Phyllis Kazumi Kawada, DDSNPI 1144331323
Title
President/Owner
Phone
(562) 690-3750

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

731 N Beach Blvd Ste 120
La Habra, CA 90631-3690

Mailing address

731 N Beach Blvd Ste 120
La Habra, CA 90631-3690
Phone (562) 690-3750

Other names 1

  • Center for Pediatric Dentistry Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Pediatric Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

731 N Beach Blvd
Ste 120
La Habra, CA 90631
Phone (562) 226-1636

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1437633872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N BEACH BLVD STE 120",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313690",
            "telephone_number": "562-690-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N BEACH BLVD STE 120",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313690",
            "telephone_number": "562-226-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "KAWADA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "KAZUMI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-690-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pediatric Dentistry Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.