Active NPI
Priority Dental Care,Dental Office of Ching-Roo CHI
- Dentist
- Riverside, CA
National Provider Identifier
1477796860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40066
- Legal business name
- PRIORITY DENTAL CARE,DENTAL OFFICE OF CHING-ROO CHI
- Practice address
- 4595 La Sierra Ave
Riverside, CA 92505-2900 - Phone
- (951) 688-6000
- Fax
- (951) 688-6088
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ching-Roo Tony CHI, DDS, BDS
- Title
- Dentist
- Phone
- (951) 688-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40066 | CA | Primary |
Addresses
Primary practice location
4595 La Sierra Ave
Riverside, CA 92505-2900
Mailing address
4595 La Sierra Ave
Riverside, CA 92505-2900
Phone (951) 688-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G91131-01 | Other | CA | DENTICAL |
| 40066 | Other | CA | DENTIST |
National Provider Directory
National Provider Directory- Tax ID family
- Ching-Roo CHI
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Riverside, CA
- NPI 1316496615
-
- Dentist
- West Covina, CA
- NPI 1730638057
Locations
4595 La Sierra Ave
Riverside, CA 92505
Phone (951) 688-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1477796860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4595 LA SIERRA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925052900",
"telephone_number": "951-688-6000",
"fax_number": "951-688-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4595 LA SIERRA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925052900",
"telephone_number": "951-688-6000",
"fax_number": "951-688-6088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY DENTAL CARE,DENTAL OFFICE OF CHING-ROO CHI",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "CHI",
"authorized_official_first_name": "CHING-ROO",
"authorized_official_middle_name": "TONY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "951-688-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, BDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "40066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G91131-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "40066",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.