NPIMap

Organization Active NPI

LC Medical & Dental Center

  • Dentist
  • Buena Park, CA
National Provider Identifier
1811140536
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49290 Issued in CA
Legal business name
LC MEDICAL & DENTAL CENTER
Practice address
5825 Lincoln Ave
Suite H
Buena Park, CA 90620-3463
Phone
(714) 761-1736
Fax
(714) 761-7179
NPI assigned
Oct 25, 2008
Last updated
Oct 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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

Authorized official

Name
Christine Chiem, DDSNPI 1467511360
Title
Secretary
Phone
(714) 761-1736

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 49290 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A61531 CA

Addresses

Primary practice location

5825 Lincoln Ave
Suite H
Buena Park, CA 90620-3463

Mailing address

5825 Lincoln Ave
Suite H
Buena Park, CA 90620-3463
Phone (714) 761-1736

National Provider Directory

National Provider Directory

Locations

5825 Lincoln Ave
Buena Park, CA 90620
Phone (714) 761-1736

Practitioners & affiliated clinicians

Practitioners 3

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": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224892800000",
    "number": "1811140536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE",
            "address_2": "SUITE H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203463",
            "telephone_number": "714-761-1736",
            "fax_number": "714-761-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE",
            "address_2": "SUITE H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203463",
            "telephone_number": "714-761-1736",
            "fax_number": "714-761-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC MEDICAL & DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A",
        "authorized_official_last_name": "CHIEM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-761-1736",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49290",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.