Active NPI
Ou and Chan Dental Inc
- General Practice Dentistry
- Chino, CA
National Provider Identifier
1710068317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Su Hwei Ou, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37890 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Chino, CA
- NPI 1871711937
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.