Organization Active NPI

H Street Dentistry

Doing business as none

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1609023779
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34463 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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.NPI 1992830665
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34463OtherCACALIFORNIA STATE LICENSE

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.