Individual provider Active NPI

Kimberly Chau Ward, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1710354808
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64982 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.