NPIMap

Organization Active NPI

Zhibin Qiu, D.D.S., a Professional Corp.

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1508966078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44991 Issued in CA
Legal business name
ZHIBIN QIU, D.D.S., A PROFESSIONAL CORP.
Practice address
111 N. Atlantic Blvd.
Suite 246
Monterey Park, CA 91754-1579
Phone
(626) 576-1128
Fax
(626) 576-1988
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zhibin Qiu, D.D.S.NPI 1225240567
Title
Owner
Phone
(626) 576-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44991 CA Primary

Addresses

Primary practice location

111 N. Atlantic Blvd.
Suite 246
Monterey Park, CA 91754-1579

Mailing address

111 N. Atlantic Blvd.
Suite 246
Monterey Park, CA 91754-1579
Phone (626) 576-1128

Other names 1

  • Atlantic Place Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

111 N Atlantic Blvd
Ste 246
Monterey Park, CA 91754
Phone (626) 576-1128

Practitioners & affiliated clinicians

Practitioners 2

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508966078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N. ATLANTIC BLVD.",
            "address_2": "SUITE 246",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541579",
            "telephone_number": "626-576-1128",
            "fax_number": "626-576-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. ATLANTIC BLVD.",
            "address_2": "SUITE 246",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541579",
            "telephone_number": "626-576-1128",
            "fax_number": "626-576-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHIBIN QIU, D.D.S., A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QIU",
        "authorized_official_first_name": "ZHIBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-576-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Place Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.