Active NPI
Kimberly Chau Ward, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1710354808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64982
- Practice address
- 10651 Village HVN Unit 109
San Diego, CA 92130-4940 - Phone
- (818) 468-9887
- NPI assigned
- Aug 25, 2015
- Last updated
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64982 | CA | Primary |
Addresses
Primary practice location
10651 Village HVN Unit 109
San Diego, CA 92130-4940
Mailing address
4326 Beulah Dr
La Canada, CA 91011-3321
Phone (818) 468-9887
Other practice location 1
4664 Clairemont Mesa Blvd
San Diego, CA 92117-2005
Phone (619) 701-6625
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Ward DDS, Inc. | Current | Accepting new patients | |
| Glenn Casey Ashmore Dental Corp. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Laguna Niguel, CA
- NPI 1295598647
-
dba Dental Express
- General Practice Dentistry
- San Diego, CA
- NPI 1437541737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1710354808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 BEULAH DR",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910113321",
"telephone_number": "818-468-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 VILLAGE HVN UNIT 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304940",
"telephone_number": "818-468-9887"
}
],
"practiceLocations": [
{
"address_1": "4664 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921172005",
"country_code": "US",
"telephone_number": "619-701-6625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "KIMBERLY",
"middle_name": "CHAU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.