PO-Ting CHI, DMD
Individual provider Active NPI General Practice Dentistry · Highland, CA
NPI 1770067639 · NPPES record last updated Sep 17, 2018
Key facts
- NPI
- 1770067639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 103130 (CA)
- Practice address
- 7442 Tuolumne LN
Highland, CA 92346-7733 - Phone
- (909) 272-9905
- NPI assigned
- Sep 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200911000926 | CA | Order and Referring Only - Dentist |
3577981232 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- poting.chi.p1@direct.altura.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 103130 | CA | Yes |
Addresses
Primary practice location
7442 Tuolumne LN
Highland, CA 92346-7733
Mailing address
7442 Tuolumne LN
Highland, CA 92346-7733
Other providers in Highland, CA
- Cedar Holding, LLC
- Alma Daniela Cerrato-Lopez
- Mallory Antonina Chapin
- Renee L Chavez
- Cheri'S Care
- Wayne Shyh Chiu
- Chandra Chockalingam
- Jongyeob Choi
- Chopra Medical LLC
- Seunghwan Chung
All providers in Highland, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.