Organization Active NPI

Jason S. Ching D.D.S., Inc.

  • Pediatric Dentistry
  • Fontana, CA
National Provider Identifier
1689939167
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
53202 Issued in CA
Legal business name
JASON S. CHING D.D.S., INC.
Practice address
15218 Summit Ave
Suite 150
Fontana, CA 92336-0232
Phone
(909) 333-6875
Fax
(951) 308-2637
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Jason ChingNPI 1992917645
Title
Dentist
Phone
(909) 333-6875

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 53202 CA Primary

Addresses

Primary practice location

15218 Summit Ave
Suite 150
Fontana, CA 92336-0232

Mailing address

15218 Summit Ave
Suite 150
Fontana, CA 92336-0232
Phone (909) 333-6875

National Provider Directory

National Provider Directory

Locations

15218 Summit Ave
Ste 150
Fontana, CA 92336
Phone (909) 333-6875

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": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1689939167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 SUMMIT AVE",
            "address_2": "SUITE 150",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360232",
            "telephone_number": "909-333-6875",
            "fax_number": "951-308-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 SUMMIT AVE",
            "address_2": "SUITE 150",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360232",
            "telephone_number": "909-333-6875",
            "fax_number": "951-308-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S. CHING D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-333-6875",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.