NPIMap

Organization Active NPI

Juliet Tan Chua, D.M.D., Inc.

Doing business as Anaheim JC Dental Arts

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1952673196
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33674 Issued in CA
Legal business name
JULIET TAN CHUA, D.M.D., INC.
Doing business as
Anaheim JC Dental Arts
Practice address
705 S State College Blvd
Anaheim, CA 92806-4527
Phone
(714) 399-3668
Fax
(714) 399-9310
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Juliet Tan Chua, D.M.D.
Title
Owner
Phone
(714) 399-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33674 CA Primary

Addresses

Primary practice location

705 S State College Blvd
Anaheim, CA 92806-4527

Mailing address

705 S State College Blvd
Anaheim, CA 92806-4527
Phone (714) 399-3668

Other identifiers 1

IdentifierTypeStateIssuer
1063431146OtherCADENTI-CAL

Other names 1

  • Anaheim JC Dental Arts Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anaheim JC Dental Arts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 S State College Blvd
Anaheim, CA 92806
Phone (714) 399-3668

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1952673196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064527",
            "telephone_number": "714-399-3668",
            "fax_number": "714-399-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064527",
            "telephone_number": "714-399-3668",
            "fax_number": "714-399-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIET TAN CHUA, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-399-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1063431146",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim JC Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.