Active NPI
Cha Hur, D.D.S.
- Pediatric Dentistry
- Long Beach, CA
National Provider Identifier
1740547264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 64525
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 64525 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santos Cortez, DDS, Inc. | Pediatric Dentistry | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Long Beach, CA
- NPI 1922116730
Pediatric Dentistry
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.