Kwang Hyun CHI, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS100287 Issued in CA

Practice address

1228 W Avenue K
Lancaster, CA 93534-5922

Phone

(661) 949-1970

NPI assigned

Mar 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1871955336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GARDINER LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335776",
            "telephone_number": "951-398-9170",
            "fax_number": "657-378-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345922",
            "telephone_number": "661-949-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "KWANG HYUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4470",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naili Alexander Chen, D.O., MPH, MASC
• Ponnamma Medappa Chenanda, M.D.
• Kristine Chermakyan, APCC
• Man-Ching L Cheung, LCSW
• Mary Lou Chheng, PHARMD
• Bryan Howard Chico, ASW, MSW
• Child and Family Guidance Center
• Robert Childress III
• Vicki Childress
• Anthony Lloyd Chin-Quee, M.D.

• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.