Elizabeth L Hoang DMD & Ted Chan DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44153 Issued in CA

Legal business name

ELIZABETH L HOANG DMD & TED CHAN DMD, INC

Doing business as

Coastal Dental Care

Practice address

816 W Willow St
Long Beach, CA 90806-2837

Phone

(562) 595-7077

Fax

(562) 490-4727

NPI assigned

Jan 23, 2018

Organization subpart

Yes

Parent organization

OMEGA FAMILY DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Ted Chan, DMDNPI 1508997784

Title

Doctor

Phone

(714) 539-7070

Specialties & licenses 1

Addresses

Other names 1

• Coastal Dental Care Doing business as

Electronic endpoints 1

Tax ID family

Omega Family Dental2 organizations share this tax ID, including this one

Part of

Omega Family Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omega Family Dental

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1396250353
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Omega Family Dental

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1396250353
  NPPES parent name

Practitioners 1

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.

• Ted Chan, D.M.D.

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1508997784
  NPD (past) Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1518465715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062837",
            "telephone_number": "562-595-7077",
            "fax_number": "562-490-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062837",
            "telephone_number": "562-595-7077",
            "fax_number": "562-490-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10044 Westminster Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434721",
            "country_code": "US",
            "telephone_number": "714-539-7070",
            "fax_number": "714-539-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH L HOANG DMD & TED CHAN DMD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMEGA FAMILY DENTAL",
        "enumeration_date": "2018-01-23",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-539-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coastaldentalcaregg@gmail.com",
            "affiliation": "Y",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10044 Westminster Ave",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928434721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastal Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.