Organization Active NPI

Darryl C Chong DDS Dental Corp

  • Dental Clinic/Center
  • Westminster, CA
National Provider Identifier
1447870662
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DARRYL C CHONG DDS DENTAL CORP
Practice address
13861 Beach Blvd Ste 4
Westminster, CA 92683-4035
Phone
(714) 897-4471
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Marie M HoangNPI 1255589032
Title
Secretary
Phone
(714) 310-5356

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13861 Beach Blvd Ste 4
Westminster, CA 92683-4035

Mailing address

3083 W Teranimar Dr
Anaheim, CA 92804-3826
Phone (714) 408-8206

National Provider Directory

National Provider Directory

Locations

13861 Beach Blvd
Ste 4
Westminster, CA 92683
Phone (714) 897-4471

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1447870662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 W TERANIMAR DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043826",
            "telephone_number": "714-408-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 BEACH BLVD STE 4",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834035",
            "telephone_number": "714-897-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL C CHONG DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-310-5356"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.