Ivan W. Ho, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39010 Issued in CA

Practice address

24953 Paseo de Valencia Ste 6C
Laguna Hills, CA 92653-4337

Phone

(949) 880-6638

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Pediatric Dentistry Inc

  • Pediatric Dentistry
  • Aliso Viejo, CA
  • NPI 1033932363
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1891762886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CALLE ELEGANTE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308915",
            "telephone_number": "949-322-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 6C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534337",
            "telephone_number": "949-880-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "IVAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Hinshaw
• Laurel Hipszer, RPH
• Thomas G. Hirose, M.D.
• Aivy Bao Ho
• Chee K. Ho, D.O.
• Nathaniel Dat Ho, M.D.
• Rachel Hoelscher
• Kelley Hoffman, N.P.
• Pinella Holder, D.O.
• Holistic Balance Health

• General Practice Dentistry in Laguna Hills, CA
• Providers in Laguna Hills, 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 Nov 13, 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.