Clorinda Beta Kong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28178 Issued in CA

Practice address

151 Callan Ave
Suite 302
San Leandro, CA 94577-4536

Phone

(510) 351-7130

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487723029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CALLAN AVENUE",
            "address_2": "SUITE 302",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774536",
            "telephone_number": "510-351-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CALLAN AVE",
            "address_2": "SUITE 302",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774536",
            "telephone_number": "510-351-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "CLORINDA",
        "middle_name": "BETA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena M Koda, RD
• Aruna Koduri, M.D.
• Alexander A Kogan, DDS
• Katrina Kohlsdorf
• Carolyn Kong, PHARM.D.
• Erick K. Kong, P.T.
• Gregory Lawrence Kong, D.D.S.
• Kin W Kong, LAC
• Stephanie Kong, MD
• Vangsue Lasue Kong

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.