Active NPI
Susie C. Kwok DDS Inc
Doing business as Uptown Dental Office
- Dental Laboratory
- San Diego, CA
National Provider Identifier
1528308517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory
- License
- 39171
- Legal business name
- SUSIE C. KWOK DDS INC
- Doing business as
- Uptown Dental Office
- Practice address
- 3315 4TH Ave
San Diego, CA 92103-5703 - Phone
- (619) 295-7885
- Fax
- (619) 295-7888
- NPI assigned
- Feb 27, 2013
- Last updated
- Feb 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susie C. Kwok, DDS
- Title
- Owner
- Phone
- (619) 295-7885
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Laboratory | 292200000X | 39171 | CA | Primary |
Addresses
Primary practice location
3315 4TH Ave
San Diego, CA 92103-5703
Mailing address
3315 4TH Ave
San Diego, CA 92103-5703
Phone (619) 295-7885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447267802 | Other | CA | NPI INDIVIDUAL |
Other names 1
- Uptown Dental Office
National Provider Directory
National Provider DirectoryLocations
3315 4th Ave
San Diego, CA 92103
Phone (619) 295-5261
Practitioners & affiliated clinicians
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.
-
- Dentist
- San Diego, CA
- NPI 1447267802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1528308517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-295-7885",
"fax_number": "619-295-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-295-7885",
"fax_number": "619-295-7888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSIE C. KWOK DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "KWOK",
"authorized_official_first_name": "SUSIE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-295-7885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "292200000X",
"taxonomy_group": "",
"desc": "Dental Laboratory",
"state": "CA",
"license": "39171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1447267802",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Uptown Dental Office",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
- Susan S. H. Chang DDS Inc
- Susan's Hair Unlimited ,Inc (Hair Unlimited)
- Aleah Celine Susana
- La'Shay Suseberry
- Sandhra Sushilkumar, DMD
- Susie Ro, Licensed Clinical Social Worker, Path to Healing, Inc,
- Susie T Chan DDS a Professional Dental Corportation (smile.)
- Alissa Sara Suski, M.A., CCC-SLP
- Davis Alan Suskind, M.D.
- Naomi Suskind, ASW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.