Organization Active NPI

Htut Dental Corp

Doing business as Prestige Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Verne, CA
National Provider Identifier
1790325058
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HTUT DENTAL CORP
Doing business as
Prestige Orthodontics
Practice address
1413 Foothill Blvd Ste B
La Verne, CA 91750-3418
Phone
(909) 596-1831
NPI assigned
Jan 14, 2020
Last updated
May 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Authorized official

Name
Myat HtutNPI 1073949541
Title
Ceo
Phone
(626) 466-5492

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1413 Foothill Blvd Ste B
La Verne, CA 91750-3418

Mailing address

1413 Foothill Blvd Ste B
La Verne, CA 91750-3418

Other names 1

  • Prestige Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589068800000",
    "number": "1790325058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503418",
            "telephone_number": "909-596-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HTUT DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A",
        "authorized_official_last_name": "HTUT",
        "authorized_official_first_name": "MYAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-466-5492"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; 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.