Organization Active NPI

Coastline Dental Care

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1447463146
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49746 Issued in CA
Legal business name
COASTLINE DENTAL CARE
Practice address
16033 Bolsa Chica St # 110
Huntington Beach, CA 92649-2452
Phone
(714) 846-7700
Fax
(714) 846-7707
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Michael Cuong Dong, DMDNPI 1548506512
Title
Dentist
Phone
(714) 846-7700

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 49746 CA Primary

Addresses

Primary practice location

16033 Bolsa Chica St # 110
Huntington Beach, CA 92649-2452

Mailing address

16033 Bolsa Chica St # 110
Huntington Beach, CA 92649-2452
Phone (714) 846-7700

National Provider Directory

National Provider Directory

Locations

16033 Bolsa Chica St
Ste 110
Huntington Beach, CA 92649
Phone (714) 846-7700

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1447463146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 BOLSA CHICA ST # 110",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492452",
            "telephone_number": "714-846-7700",
            "fax_number": "714-846-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16033 BOLSA CHICA ST # 110",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492452",
            "telephone_number": "714-846-7700",
            "fax_number": "714-846-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CUONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-846-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.