Sonrisas Bright Dental 1, LP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SONRISAS BRIGHT DENTAL 1, LP

Practice address

959 Woodside Rd
Redwood City, CA 94061-3644

Phone

(650) 361-1801

Fax

(650) 361-1809

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Edwin Chicchon, DDS

Title

Owner/Dentist

Phone

(510) 713-8986

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1487320008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613644",
            "telephone_number": "650-361-1801",
            "fax_number": "650-361-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613644",
            "telephone_number": "650-361-1801",
            "fax_number": "650-361-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISAS BRIGHT DENTAL 1, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CHICCHON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "510-713-8986",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEA",
            "identifier": "1609060649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somnology Inc
• Sung Ja Son
• Esther Inhae Song, PHARM. D
• Soojung Song, DMD
• Sonia Aldape, Licensed Clinical Social Worker, Inc.
• Mark Jordan Sontag, MD
• Sonus-USA, Inc.
• Darya Soofi
• Tariku Mulugeta Sory, LVN
• Katherine Soto

• Dental Clinic/Center in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.