Active NPI
H Street Dentistry
Doing business as none
- General Practice Dentistry
- Bakersfield, CA
National Provider Identifier
1609023779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34463
- Legal business name
- H STREET DENTISTRY
- Doing business as
- none
- Practice address
- 2007 17TH St
Bakersfield, CA 93301-4203 - Phone
- (661) 631-1113
- Fax
- (661) 631-1116
- NPI assigned
- Aug 20, 2008
- Last updated
- Aug 20, 2008
- 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. Clarence Kwok-Liang Au, D.D.S.
- Title
- Owner
- Phone
- (661) 631-1113
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34463 | CA | Primary |
Addresses
Primary practice location
2007 17TH St
Bakersfield, CA 93301-4203
Mailing address
2007 17TH St
Bakersfield, CA 93301-4203
Phone (661) 631-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34463 | Other | CA | CALIFORNIA STATE LICENSE |
Other names 1
- none
National Provider Directory
National Provider DirectoryLocations
2007 17th St
Bakersfield, CA 93301
Phone (661) 327-1472
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
- Bakersfield, CA
- NPI 1992830665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1609023779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 17TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014203",
"telephone_number": "661-631-1113",
"fax_number": "661-631-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 17TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014203",
"telephone_number": "661-631-1113",
"fax_number": "661-631-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H STREET DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "AU",
"authorized_official_first_name": "CLARENCE",
"authorized_official_middle_name": "KWOK-LIANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-631-1113",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "34463",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.