NPIMap

Organization Active NPI

The Dental Corporation of Kyaw Kyaw MG, DDS, Inc.

Doing business as Polar Dental Care

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1760815120
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL CORPORATION OF KYAW KYAW MG, DDS, INC.
Doing business as
Polar Dental Care
Practice address
11004 Lower Azusa Rd
El Monte, CA 91731-1440
Phone
(626) 575-1191
Fax
(626) 575-3977
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Dr. Kyaw Kyaw MG, DDSNPI 1740382415
Title
President/Ceo
Phone
(626) 575-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11004 Lower Azusa Rd
El Monte, CA 91731-1440

Mailing address

11004 Lower Azusa Rd
El Monte, CA 91731-1440
Phone (626) 575-1191

Other identifiers 1

IdentifierTypeStateIssuer
G9351501MedicaidCA

Other names 1

  • Polar Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11004 Lower Azusa Rd
El Monte, CA 91731
Phone (626) 575-1191

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1760815120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "THE DENTAL CORPORATION OF KYAW KYAW MG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MG",
        "authorized_official_first_name": "KYAW",
        "authorized_official_middle_name": "KYAW",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-575-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9351501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polar Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 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.

Verify at the official NPI Registry.