Organization Active NPI

Quan DDS Dental Corporation

  • Pediatric Dentistry
  • Huntington Beach, CA
National Provider Identifier
1598541872
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
QUAN DDS DENTAL CORPORATION
Practice address
6855 Warner Ave
Huntington Beach, CA 92647-5303
Phone
(714) 465-4178
NPI assigned
Sep 4, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Van-Khoa Quan, DDSNPI 1518354653
Title
Owner
Phone
(714) 465-4178

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

6855 Warner Ave
Huntington Beach, CA 92647-5303

Mailing address

10451 Bolsa Ave Ste 218
Westminster, CA 92683-6785

National Provider Directory

National Provider Directory

Locations

6855 Warner Ave
Huntington Beach, CA 92647
Phone (714) 465-4178

10451 Bolsa Ave
Ste 218
Westminster, CA 92683

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": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1598541872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 BOLSA AVE STE 218",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475303",
            "telephone_number": "714-465-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "VAN-KHOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-465-4178",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.