Individual provider Active NPI

Jason Stuart Ching, D.D.S.

  • Dentist
  • Fontana, CA
National Provider Identifier
1992917645
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53202 Issued in CA
Practice address
15218 Summit Ave
Suite 150
Fontana, CA 92336-0232
Phone
(909) 333-6875
Fax
(951) 308-2637
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53202 CA Primary

Addresses

Primary practice location

15218 Summit Ave
Suite 150
Fontana, CA 92336-0232

Mailing address

15218 Summit Ave
Suite 150
Fontana, CA 92336-0232
Phone (909) 333-6875

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
53202CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason S. Ching D.D.S., Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1992917645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 SUMMIT AVE",
            "address_2": "SUITE 150",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360232",
            "telephone_number": "909-333-6875",
            "fax_number": "951-308-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 SUMMIT AVE",
            "address_2": "SUITE 150",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360232",
            "telephone_number": "909-333-6875",
            "fax_number": "951-308-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "JASON",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.