Organization Active NPI

Dr. James Ahn'S Dentistry Inc

  • General Practice Dentistry
  • Rowland Heights, CA
National Provider Identifier
1568990158
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28898 Issued in CA
Legal business name
DR. JAMES AHN'S DENTISTRY INC
Practice address
19250 Colima Rd
Rowland Heights, CA 91748-3004
Phone
(626) 810-2782
Fax
(626) 964-0842
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
James C Ahn, DDS
Title
President
Phone
(626) 810-2782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28898 CA Primary

Addresses

Primary practice location

19250 Colima Rd
Rowland Heights, CA 91748-3004

Mailing address

19250 Colima Rd
Rowland Heights, CA 91748-3004
Phone (626) 810-2782

Other identifiers 1

IdentifierTypeStateIssuer
1205989100MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1568990158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483004",
            "telephone_number": "626-810-2782",
            "fax_number": "626-964-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483004",
            "telephone_number": "626-810-2782",
            "fax_number": "626-964-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES AHN'S DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-2782",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205989100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.