Community Dental of Dr. CHI

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMMUNITY DENTAL OF DR. CHI

Practice address

11875 Pigeon Pass Rd
Buite B9
Moreno Valley, CA 92557-6039

Phone

(951) 488-8688

Fax

(951) 488-8688

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Ching-Roo Tony CHI, DDS,BDS

Title

Dentist

Phone

(951) 488-8688

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alexandr V Doroshenko, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1497951784
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1922237155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD",
            "address_2": "SUITE B9",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576039",
            "telephone_number": "951-488-8688",
            "fax_number": "951-488-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD",
            "address_2": "BUITE B9",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576039",
            "telephone_number": "951-488-8688",
            "fax_number": "951-488-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL OF DR. CHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "CHING-ROO",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-488-8688",
        "authorized_official_credential": "DDS,BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl E Collier, D.O.
• Tomeryl Ellis Collier
• William Charles Coman, CADC I
• Lanett Combs
• Community Center for Healthy Minds (CCHM)
• Community Dental Services
• Community Health Systems, Inc.
• Compassionate Senior Solutions LLC
• Marinor Anne Marcelo Concepcion, DO
• Sophia Daniela Conde, MSW

• All providers in Moreno Valley, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.