Individual provider Active NPI

Chona Pua, D.D.S.

  • General Practice Dentistry
  • Salinas, CA
National Provider Identifier
1659522985
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44247 Issued in CA
Practice address
1064 Pajaro St
Salinas, CA 93901-3034
Phone
(831) 751-6175
Fax
(831) 751-6174
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44247 CA Primary

Addresses

Primary practice location

1064 Pajaro St
Salinas, CA 93901-3034

Mailing address

1064 Pajaro St
Salinas, CA 93901-3034
Phone (831) 751-6175

Other identifiers 2

IdentifierTypeStateIssuer
1396958997OtherCANPI FOR CORPORATION
G93687OtherCADENTICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44247CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chona Pua,DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1659522985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013034",
            "telephone_number": "831-751-6175",
            "fax_number": "831-751-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013034",
            "telephone_number": "831-751-6175",
            "fax_number": "831-751-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUA",
        "first_name": "CHONA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CORPORATION",
            "identifier": "1396958997",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G93687",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

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