Individual provider Active NPI

Christine Chiem, D.D.S

  • Dentist
  • Buena Park, CA
National Provider Identifier
1467511360
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49290 Issued in CA
Practice address
5971 Lincoln Ave
Buena Park, CA 90620-3580
Phone
(714) 995-3976
Fax
(714) 995-7124
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49290 CA Primary

Addresses

Primary practice location

5971 Lincoln Ave
Buena Park, CA 90620-3580

Mailing address

5825 Lincoln Ave
Ste H
Buena Park, CA 90620-3477
Phone (714) 761-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425002218 CA Order and Referring Only - DentistPractitioner - Dentist 9436203270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver S. Cruz, DDS, Inc. Past Accepting new patients
Western Dental Services, Inc. Past Accepting new patients
LC Medical & Dental Center Dentist PastSince May 1, 2009 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1467511360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE",
            "address_2": "STE H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203477",
            "telephone_number": "714-761-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 LINCOLN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203580",
            "telephone_number": "714-995-3976",
            "fax_number": "714-995-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEM",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.