Active NPI
Darryl Clayton Chong, D.D.S.
- Dentist
- Westminster, CA
National Provider Identifier
1932340767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58098
- Practice address
- 13861 Beach Blvd Ste 4
Westminster, CA 92683-4035 - Phone
- (714) 897-4471
- NPI assigned
- Mar 6, 2009
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58098 | CA | Primary |
Addresses
Primary practice location
13861 Beach Blvd Ste 4
Westminster, CA 92683-4035
Mailing address
3083 W Teranimar Dr
Anaheim, CA 92804-3826
Phone (714) 408-8206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58098 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darryl C Chong DDS Dental Corp | Current | Accepting new patients |
Locations
13861 Beach Blvd
Ste 4
Westminster, CA 92683
Phone (714) 897-4471
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Westminster, CA
- NPI 1447870662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1932340767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3083 W TERANIMAR DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043826",
"telephone_number": "714-408-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13861 BEACH BLVD STE 4",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834035",
"telephone_number": "714-897-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "DARRYL",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
- Chinese Medicine & Acupuncture Institute (East West Medical Center)
- Chinh V Huynh MD Inc
- Anna Chiu, DDS
- Kevin Chivacharoen
- Beoyli Choi, FNP
- Chrischinh Nguyen, DDS, Inc
- Jennifer Christian
- Christine Birkner
- Danielle R Christner, BCBA
- Christopher Dai Nguyen D.D.S., a Professional Corporation (Nice Smiles Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.