Organization Active NPI

Asatani & Payne a Prof Corp

  • Dental Clinic/Center
  • Covina, CA
National Provider Identifier
1790900637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASATANI & PAYNE A PROF CORP
Practice address
646 W San Bernardino Rd
Covina, CA 91722
Phone
(626) 332-6291
Fax
(626) 339-4968
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kent W Payne, DDS
Title
Corp Secretary
Phone
(626) 332-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

646 W San Bernardino Rd
Covina, CA 91722

Mailing address

646 W San Bernardino Rd
Covina, CA 91722
Phone (626) 332-6291

National Provider Directory

National Provider Directory

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790900637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91722",
            "telephone_number": "626-332-6291",
            "fax_number": "626-339-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91722",
            "telephone_number": "626-332-6291",
            "fax_number": "626-339-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASATANI & PAYNE A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "626-332-6291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.