Active NPI
Kyaw Kyaw MG, DDS
- General Practice Dentistry
- El Monte, CA
National Provider Identifier
1740382415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47756
- Practice address
- 11004 Lower Azusa Rd
El Monte, CA 91731-1440 - Phone
- (626) 575-1191
- Fax
- (626) 575-3977
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47756 | CA | Primary |
Addresses
Primary practice location
11004 Lower Azusa Rd
El Monte, CA 91731-1440
Mailing address
9056 Broadway
Temple City, CA 91780-2313
Phone (626) 232-0719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G 93515-01 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47756 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Corporation of Kyaw Kyaw MG, DDS, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- El Monte, CA
- NPI 1760815120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1740382415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9056 BROADWAY",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802313",
"telephone_number": "626-232-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11004 LOWER AZUSA RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311440",
"telephone_number": "626-575-1191",
"fax_number": "626-575-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MG",
"first_name": "KYAW",
"middle_name": "KYAW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G 93515-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.