Organization Active NPI

James C Chiu DDS Inc

  • Dental Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1578060612
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61945 Issued in CA
Legal business name
JAMES C CHIU DDS INC
Practice address
17130 Magnolia St
Fountain Valley, CA 92708-3348
Phone
(714) 717-2584
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Dr. James Cheng-Pang Chiu, DDS
Title
Ceo
Phone
(714) 717-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 61945 CA Primary

Addresses

Primary practice location

17130 Magnolia St
Fountain Valley, CA 92708-3348

Mailing address

9791 Rainier Cir
Huntington Beach, CA 92646-4850
Phone (714) 717-2584

Other identifiers 1

IdentifierTypeStateIssuer
61945OtherCADCA - DEPARTMENET OF CONSUMER AFFAIR

National Provider Directory

National Provider Directory

Locations

17130 Magnolia St
Fountain Valley, CA 92708
Phone (714) 717-2584

Practitioners & affiliated clinicians

Practitioners 1

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1578060612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9791 RAINIER CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464850",
            "telephone_number": "714-717-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083348",
            "telephone_number": "714-717-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C CHIU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHENG-PANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-717-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA - DEPARTMENET OF CONSUMER AFFAIR",
            "identifier": "61945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.