NPIMap

Organization Active NPI

Irene M. Ting D.M.D a Professional Corporation

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1447472691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45034 Issued in CA
Legal business name
IRENE M. TING D.M.D A PROFESSIONAL CORPORATION
Practice address
885 Canarios Court #212
Chula Vista, CA 91910
Phone
(619) 397-7162
NPI assigned
May 3, 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
Mrs. Irene Malabanan Ting, D.M.DNPI 1124158365
Title
Owner
Phone
(619) 397-7162

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 45034 CA Primary

Addresses

Primary practice location

885 Canarios Court #212
Chula Vista, CA 91910

Mailing address

668 El Portal Drive
Chula Vista, CA 91914
Phone (619) 216-1783

National Provider Directory

National Provider Directory

Locations

885 Canarios Ct
Ste 212
Chula Vista, CA 91910
Phone (619) 397-7162

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447472691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 EL PORTAL DRIVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-216-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS COURT #212",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-397-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE M. TING D.M.D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "MALABANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-397-7162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, 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.