Organization Active NPI

Katy Chou D D S Dental Corp

  • General Practice Dentistry
  • Lake Elsinore, CA
National Provider Identifier
1831745801
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATY CHOU D D S DENTAL CORP
Practice address
31571 Canyon Estates Dr Ste 200
Lake Elsinore, CA 92532-0412
Phone
(951) 471-8979
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Dr. Katy Chou, DDS
Title
Owner
Phone
(626) 854-1826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

31571 Canyon Estates Dr Ste 200
Lake Elsinore, CA 92532-0412

Mailing address

31571 Canyon Estates Dr Ste 200
Lake Elsinore, CA 92532-0412
Phone (626) 688-3829

Other practice location 1

13768 Roswell Ave Ste 200
Chino, CA 91710-1405
Phone (909) 627-1266

National Provider Directory

National Provider Directory

Locations

17138 Colima Rd
Ste C
Hacienda Hts, CA 91745
Phone (626) 854-1826

31571 Canyon Estates Dr
Ste 200
Lake Elsinore, CA 92532
Phone (951) 471-8979

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1831745801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR STE 200",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320412",
            "telephone_number": "626-688-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR STE 200",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320412",
            "telephone_number": "951-471-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13768 Roswell Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917101405",
            "country_code": "US",
            "telephone_number": "909-627-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATY CHOU D D S DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-854-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.