Organization Active NPI

Chanook D Ahn DMD Inc.

  • Periodontics
  • Costa Mesa, CA
National Provider Identifier
1487562914
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CHANOOK D AHN DMD INC.
Practice address
3151 Airway Ave Ste F103
Costa Mesa, CA 92626-4651
Phone
(714) 549-7030
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Chanook D Ahn, DMD
Title
Owner
Phone
(608) 354-7113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3151 Airway Ave Ste F103
Costa Mesa, CA 92626-4651

Mailing address

3151 Airway Ave Ste F103
Costa Mesa, CA 92626-4651
Phone (608) 354-7113

Other names 1

  • The Loft Dental Studio Doing business as

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1487562914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE F103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264651",
            "telephone_number": "608-354-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE F103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264651",
            "telephone_number": "714-549-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANOOK D AHN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "CHANOOK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-354-7113",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Loft Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.