Individual provider Active NPI

Darryl Clayton Chong, D.D.S.

  • Dentist
  • Westminster, CA
National Provider Identifier
1932340767
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58098 Issued in CA
Practice address
13861 Beach Blvd Ste 4
Westminster, CA 92683-4035
Phone
(714) 897-4471
NPI assigned
Mar 6, 2009
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
58098CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darryl C Chong DDS Dental Corp CurrentSince Apr 19, 2020 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.

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

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.

Verify at the official NPI Registry.