Irene Hwang

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

CA108859 Issued in CA

Practice address

2250 W Whittier Blvd Ste 200
La Habra, CA 90631-3470

Phone

(562) 690-3750

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Phyllis K. Kawada, DDS, Ms, a Professional Corporation

  dba Center for Pediatric Dentistry

  • Dental Clinic/Center
  • La Habra, CA
  • NPI 1023204682
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1962139014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 S BEACH BLVD UNIT B2025",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311665",
            "telephone_number": "425-623-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W WHITTIER BLVD STE 200",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313470",
            "telephone_number": "562-690-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Potomac Cir",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800116714",
            "country_code": "US",
            "telephone_number": "720-777-6788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W Imperial Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906310604",
            "country_code": "US",
            "telephone_number": "562-690-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "CA108859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie Claire Howes
• Khanh Ngoc Bao Hua
• Benjamin Tai-Yuen Huang, M.D.
• Christina Huffman, PHARM D
• Phuong-Kieu Tran Huynh, D.M.D
• Ifunanya Olive Ifeacho, FNP
• Ileka Chibuzo Ifejika, PHARMD
• Alicia Igarta
• Ignite Phyzio & Sports Performance Inc
• Kevin Im, DDS

• Pediatric Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.