NPIMap

Organization Active NPI

Monglan Ho D.D.S., Inc.

  • General Practice Dentistry
  • Fountain Valley, CA
National Provider Identifier
1811098064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42661 Issued in CA
Legal business name
MONGLAN HO D.D.S., INC.
Practice address
16027 Brookhurst St
Suite J
Fountain Valley, CA 92708-1551
Phone
(714) 839-2211
Fax
(714) 531-3685
NPI assigned
Sep 26, 2006
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
Monglan Ho, D.D.S.NPI 1598947913
Title
President
Phone
(714) 839-2211

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42661 CA Primary

Addresses

Primary practice location

16027 Brookhurst St
Suite J
Fountain Valley, CA 92708-1551

Mailing address

16027 Brookhurst St
Suite J
Fountain Valley, CA 92708-1551
Phone (714) 839-2211

Other identifiers 2

IdentifierTypeStateIssuer
B42661-01OtherCADELTA HEALTHY FAMILY
G92093-01OtherCADENTICAL

Other names 1

  • DENTALAND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentaland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16027 Brookhurst St
Ste J
Fountain Valley, CA 92708
Phone (714) 839-2211

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811098064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "SUITE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-839-2211",
            "fax_number": "714-531-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "SUITE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-839-2211",
            "fax_number": "714-531-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONGLAN HO D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "MONGLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-839-2211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTHY FAMILY",
            "identifier": "B42661-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G92093-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTALAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, 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.