Organization Active NPI

K C Loo DDS a Dental Corp

Doing business as Dental Specialty of Cathedral City

  • Endodontics
  • Cathedral City, CA
National Provider Identifier
1770973984
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
K C LOO DDS A DENTAL CORP
Doing business as
Dental Specialty of Cathedral City
Practice address
68487 E. Palm Canyon Dr BLDG #1
Cathedral City, CA 92234
Phone
(760) 770-2776
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Kwor Loo, DDS
Title
Owner
Phone
(702) 522-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

68487 E. Palm Canyon Dr BLDG #1
Cathedral City, CA 92234

Mailing address

68487 E. Palm Canyon Dr BLDG #1
Cathedral City, CA 92234
Phone (760) 770-2776

Other names 1

  • Dental Specialty of Cathedral City Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1770973984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68487 E. PALM CANYON DR BLDG #1",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68487 E. PALM CANYON DR BLDG #1",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C LOO DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "KWOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-522-2028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty of Cathedral City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.