Individual provider Active NPI

Cha Hur, D.D.S.

  • Pediatric Dentistry
  • Long Beach, CA
National Provider Identifier
1740547264
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
64525 Issued in CA
Practice address
3320 N Los Coyotes Diagonal Ste 200
Long Beach, CA 90808-3938
Phone
(562) 377-1375
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 64525 CA Primary

Addresses

Primary practice location

3320 N Los Coyotes Diagonal Ste 200
Long Beach, CA 90808-3938

Mailing address

3320 N Los Coyotes Diagonal Ste 200
Long Beach, CA 90808-3938
Phone (562) 377-1375

Other names 1

  • Cha Ae Gloria Hur Other name

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

LicenseStateTypeSpecialty
64525CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santos Cortez, DDS, Inc. Pediatric Dentistry PastSince Mar 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1740547264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083938",
            "telephone_number": "562-377-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083938",
            "telephone_number": "562-377-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "CHA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-22",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "64525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHA AE GLORIA",
            "last_name": "HUR",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.