Organization Active NPI

Ou and Chan Dental Inc

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1710068317
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37890 Issued in CA
Legal business name
OU AND CHAN DENTAL INC
Practice address
5480 Philadelphia St
Ste D
Chino, CA 91710-2486
Phone
(909) 464-2399
Fax
(909) 464-2398
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Mrs. Su Hwei Ou, DDSNPI 1871711937
Title
President
Phone
(909) 464-2399

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37890 CA Primary

Addresses

Primary practice location

5480 Philadelphia St
Ste D
Chino, CA 91710-2486

Mailing address

5480 Philadelphia St
Ste D
Chino, CA 91710-2486
Phone (909) 464-2399

Other identifiers 1

IdentifierTypeStateIssuer
37890MedicaidCA

National Provider Directory

National Provider Directory

Locations

5480 Philadelphia St
Ste D
Chino, CA 91710
Phone (909) 464-2399

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1710068317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA ST",
            "address_2": "STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102486",
            "telephone_number": "909-464-2399",
            "fax_number": "909-464-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA ST",
            "address_2": "STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102486",
            "telephone_number": "909-464-2399",
            "fax_number": "909-464-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OU AND CHAN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "SU HWEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-464-2399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.