Kathleen Thuc-Anh Doppenberg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

55472 Issued in CA

Practice address

24331 El Toro Rd
Laguna Hills, CA 92637-2752

Phone

(949) 583-1643

NPI assigned

Feb 5, 2007

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kathleen Thuc-Anh Pham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1811036338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD UNIT 7777",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072475",
            "telephone_number": "949-413-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-583-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPENBERG",
        "first_name": "KATHLEEN",
        "middle_name": "THUC-ANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6565",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "PHAM",
            "middle_name": "THUC-ANH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• April Dona, MA
• Barry S Donner, MD
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• Janice L Dotts, RPT
• Olivia Shea Doucette, PT, DPT
• Joanna N Dovalis, MA PHD
• Dr Aaron M Sako a Professional Optometric Corp (La Paz Optometric Center)

• Dentist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.