Kiatkachorn Ratanatharathorn, DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIATKACHORN RATANATHARATHORN, DDS INC

Practice address

2420 S Azusa Ave
West Covina, CA 91792-1512

Phone

(626) 810-2691

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kiatkachorn Ratanatharathorn, DDSNPI 1750867487

Title

President

Phone

(312) 375-5671

Specialties & licenses 1

Addresses

Other names 1

• Nu Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiatkachorn Ratanatharathorn, DDS

  • Dentist
  • West Covina, CA
  • NPI 1750867487
  NPD Authorized official
• Chun Yao Liao, D.D.S.

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1265659122
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667088000000",
    "number": "1891402079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921512",
            "telephone_number": "626-810-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIATKACHORN RATANATHARATHORN, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "RATANATHARATHORN",
        "authorized_official_first_name": "KIATKACHORN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-375-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nu Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khan Javed Hameed, M.D, Inc.
• Mohd. Qaisar A Khan, MD
• Moeiz Khankhanian, M.D.
• Sima Khavaran, D.D.S.
• Farzad J. Khoubian, M.D.
• Leigh Kilgus
• Caroline Kilpatrick
• William R Kilpatrick, MD
• Kim Associates Medical Clinic, Inc.
• Aileen Kim, D.D.S., M.S.

• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.