Organization Active NPI

Wayne Shyh Chiu Dental Corp.

  • General Practice Dentistry
  • Highland, CA
National Provider Identifier
1508065533
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46370 Issued in CA
Legal business name
WAYNE SHYH CHIU DENTAL CORP.
Doing business as
HIGHLAND FAMILY DENTISTRY
Practice address
3606 Highland Ave
Ste 101
Highland, CA 92346-2603
Phone
(909) 425-2500
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Wayne Shyh Chiu, DDS
Title
Ceo
Phone
(909) 425-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46370 CA Primary

Addresses

Primary practice location

3606 Highland Ave
Ste 101
Highland, CA 92346-2603

Mailing address

3606 Highland Ave
Ste 101
Highland, CA 92346-2603
Phone (909) 425-2500

Other identifiers 1

IdentifierTypeStateIssuer
G93178-01OtherCAMEDICAL

Other names 1

  • HIGHLAND FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3606 Highland Ave
Ste 101
Highland, CA 92346
Phone (909) 425-2500

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1508065533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 HIGHLAND AVE",
            "address_2": "STE 101",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462603",
            "telephone_number": "909-425-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 HIGHLAND AVE",
            "address_2": "STE 101",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462603",
            "telephone_number": "909-425-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE SHYH CHIU DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "SHYH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-425-2500",
        "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": "46370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G93178-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.