Individual provider Active NPI

Cong That Ton, D.D.S

  • Dentist
  • Westminster, CA
National Provider Identifier
1619201936
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58713 Issued in CA
Practice address
9232 Chelsea Cir
Westminster, CA 92683-6512
Phone
(714) 823-6325
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58713 CA Primary

Addresses

Primary practice location

9232 Chelsea Cir
Westminster, CA 92683-6512

Mailing address

9232 Chelsea Cir
Westminster, CA 92683-6512
Phone (714) 823-6325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814014787 CA Order and Referring Only - DentistPractitioner - Dentist 4284949579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1619201936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9232 CHELSEA CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836512",
            "telephone_number": "714-823-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9232 CHELSEA CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836512",
            "telephone_number": "714-823-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "CONG",
        "middle_name": "THAT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.