NPIMap

Organization Active NPI

Tri City Dental Care of Cerritos

  • Dentist
  • Cerritos, CA
National Provider Identifier
1487043246
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43525 Issued in CA
Legal business name
TRI CITY DENTAL CARE OF CERRITOS
Practice address
18822 Palo Verde Ave
Cerritos, CA 90703-9242
Phone
(562) 920-1731
NPI assigned
Jan 16, 2015
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Andrew W Chin, DDSNPI 1467505123
Title
Owner
Phone
(562) 920-1731

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43525 CA Primary

Addresses

Primary practice location

18822 Palo Verde Ave
Cerritos, CA 90703-9242

Mailing address

18822 Palo Verde Ave
Cerritos, CA 90703-9242
Phone (562) 920-1731

National Provider Directory

National Provider Directory

Locations

18822 Palo Verde Ave
Cerritos, CA 90703
Phone (562) 920-1731

Practitioners & affiliated clinicians

Practitioners 4

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": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1487043246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18822 PALO VERDE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039242",
            "telephone_number": "562-920-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 PALO VERDE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039242",
            "telephone_number": "562-920-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY DENTAL CARE OF CERRITOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-920-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.