Organization Active NPI

Heng Guang DDS a Professional Dental Corporation

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1962741116
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50917 Issued in CA
Legal business name
HENG GUANG DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
529 N McKinley St Ste 104
Corona, CA 92879-1296
Phone
(951) 735-1727
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Dr. Heng Guang, DDSNPI 1831364934
Title
Owner
Phone
(951) 818-4787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50917 CA Primary

Addresses

Primary practice location

529 N McKinley St Ste 104
Corona, CA 92879-1296

Mailing address

529 N McKinley St Ste 104
Corona, CA 92879-1296
Phone (951) 735-1727

National Provider Directory

National Provider Directory

Locations

529 N McKinley St
Ste 104
Corona, CA 92879
Phone (951) 735-1727

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1962741116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N MCKINLEY ST STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791296",
            "telephone_number": "951-735-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N MCKINLEY ST STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791296",
            "telephone_number": "951-735-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENG GUANG DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "GUANG",
        "authorized_official_first_name": "HENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-818-4787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.