Organization Active NPI

Katy Chou DDS Inc

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1508370487
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATY CHOU DDS INC
Practice address
1799 N Waterman Ave Ste C
San Bernardino, CA 92404-5107
Phone
(909) 882-4018
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Katy Chou, DDS
Title
President
Phone
(626) 688-3829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1799 N Waterman Ave Ste C
San Bernardino, CA 92404-5107

Mailing address

1799 N Waterman Ave Ste C
San Bernardino, CA 92404-5107
Phone (909) 882-4018

Other practice location 1

17138 Colima Rd Ste C
Hacienda Hts, CA 91745-6783
Phone (626) 854-1826

Other practice location 2

13175 Paramount Blvd
South Gate, CA 90280-7955
Phone (562) 633-9137

Other practice location 3

399 E Highland Ave Ste 523
San Bernardino, CA 92404-3899
Phone (909) 882-4018

National Provider Directory

National Provider Directory

Locations

1799 N Waterman Ave
Ste C
San Bernardino, CA 92404
Phone (909) 882-4018

399 E Highland Ave
Ste 523
San Bernardino, CA 92404
Phone (909) 882-4018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1508370487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "909-882-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "909-882-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17138 Colima Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Hacienda Hts",
            "state": "CA",
            "postal_code": "917456783",
            "country_code": "US",
            "telephone_number": "626-854-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13175 Paramount Blvd",
            "address_purpose": "LOCATION",
            "city": "South Gate",
            "state": "CA",
            "postal_code": "902807955",
            "country_code": "US",
            "telephone_number": "562-633-9137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 E Highland Ave Ste 523",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043899",
            "country_code": "US",
            "telephone_number": "909-882-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATY CHOU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-688-3829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.