Chesley R Houske Jr., DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

32425 Issued in CA

Legal business name

CHESLEY R HOUSKE JR., DDS, INC

Practice address

301 W Carson St
Carson, CA 90745-2608

Phone

(310) 787-7053

Fax

(310) 787-8182

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Eloisa Tapia

Title

Office Manager

Phone

(310) 787-7053

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chesley R Houske Jr DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chesley R Houske Jr , DDS, Inc

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1376609669
  NPD tax ID

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467519819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 EASTVALE RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744018",
            "telephone_number": "310-787-7053",
            "fax_number": "310-787-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452608",
            "telephone_number": "310-787-7053",
            "fax_number": "310-787-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESLEY R HOUSKE JR., DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "ELOISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-787-7053"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "32425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "0664839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Carson, CA
• Providers in Carson, CA by specialty
• Dentist 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.