Charles Stucken D.D.S. Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

2892201 Issued in CA

Legal business name

CHARLES STUCKEN D.D.S. PROFESSIONAL DENTAL CORPORATION

Practice address

8847 Imperial Hwy Ste C2
Downey, CA 90242-3958

Phone

(562) 861-4011

NPI assigned

Feb 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stucken, DDSNPI 1902884125

Title

Owner

Phone

(562) 861-4011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles R Stucken Sr., DDS

  • General Practice Physician
  • Downey, CA
  • NPI 1902884125
  NPD (past) Authorized official

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1720470735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY STE C2",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-861-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY STE C2",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-861-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES STUCKEN D.D.S. PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "STUCKEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-861-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "2892201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Chanta
• Andrew Yuh Chao, D.O.
• Jerry Chao, PHARM.D.
• Linda Chao
• Charles Kodimer PHD Psychological
• Shaun Chaskelson
• Vanessa Sabrina Chau
• Gaurang Bhagwatprasad Chaurushia, MD
• David Chavelas
• Andre M.V. Chaves, M.D.

• Dentist in Downey, CA
• Providers in Downey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.