Highland Village Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D39388 Issued in CA

Legal business name

HIGHLAND VILLAGE DENTISTRY

Practice address

7291 Boulder Ave Ste 2B
Highland, CA 92346-3389

Phone

(909) 425-8980

Fax

(909) 425-2684

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chandra Chockalingam, DDSNPI 1568582534

Title

Dentist

Phone

(909) 425-8980

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Chandra Chockalingam, DDS

  • General Practice Dentistry
  • Highland, CA
  • NPI 1568582534
  Authorized official Same address or phone
• Seunghwan Chung, DDS

  • Dentist
  • Highland, CA
  • NPI 1629568688
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1487848511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE STE 2B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463389",
            "telephone_number": "909-425-8980",
            "fax_number": "909-425-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE STE 2B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463389",
            "telephone_number": "909-425-8980",
            "fax_number": "909-425-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND VILLAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "CHOCKALINGAM",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-425-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D39388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHANDRA CHOCKALINGAM",
            "identifier": "1568582534",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B393388-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Hernandez
• Tracy Lauren Herzog
• Hieu Doan Optometry Inc
• Highland Optometrics
• Highland Senior Home Care, LLC
• Rachel C Hill, M.A., A.T.C.
• Jorge Hirsch
• HLH Wellness
• Rhonda R. Hoag, MD
• Horrigan Enterprises, Inc., Elm House

• General Practice Dentistry in Highland, CA
• Providers in Highland, 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 Aug 31, 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.