Anaheim Hills Pediatric Dental Practice

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ANAHEIM HILLS PEDIATRIC DENTAL PRACTICE

Practice address

500 S Anaheim Hills Rd Ste 116
Anaheim, CA 92807-4762

Phone

(714) 974-8668

Fax

(714) 279-1179

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eddie N So, D.D.S.

Title

Partner

Phone

(714) 974-8668

Specialties & licenses 1

Addresses

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": "1447473129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074762",
            "telephone_number": "714-974-8668",
            "fax_number": "714-279-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074762",
            "telephone_number": "714-974-8668",
            "fax_number": "714-279-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM HILLS PEDIATRIC DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-974-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaheim Healthcare Center LLC (Anaheim Healthcare Center)
• Anaheim Hills Dialysis Center LLC
• Anaheim Hills Family Optometry Inc
• Anaheim Hills Medical Imaging LLC
• Anaheim Hills Medical Pharmacy
• Anaheim Hills Pediatric Therapy Inc.
• Anaheim Hills Podiatry Group
• Anaheim Hills Psychological Services
• Anaheim Hills Speech & Language Center. Inc.
• Anaheim Hills Speech and Language Center

• Pediatric Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatric Dentistry in California

• 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.