Organization Active NPI

Susie C. Kwok DDS Inc

Doing business as Uptown Dental Office

  • Dental Laboratory
  • San Diego, CA
National Provider Identifier
1528308517
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
39171 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Susie C. Kwok, DDSNPI 1447267802
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1447267802OtherCANPI INDIVIDUAL

Other names 1

  • Uptown Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.