CHINO VALLEY PEDIATRIC DENTISTRY – NPI #1366886897
Clinic/Center

CHINO VALLEY PEDIATRIC DENTISTRY is an AHC clinic located in CHINO, CA. NPPES has assigned the NPI number 1366886897 to CHINO VALLEY PEDIATRIC DENTISTRY on April 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHINO VALLEY PEDIATRIC DENTISTRY” is a dba name, the actual legal business name for this organization is JOHNNY K MA DDS PROFESSIONAL DENTAL CORP. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHINO VALLEY PEDIATRIC DENTISTRY below.

NPI Profile for
JOHNNY K MA DDS PROFESSIONAL DENTAL CORP

NPI Number
1366886897
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNNY K MA DDS PROFESSIONAL DENTAL CORP
Doing Business As (dba): CHINO VALLEY PEDIATRIC DENTISTRY
Primary location
13768 ROSWELL AVE
SUITE # 221
CHINO, CA 91710-1401
Phone: (909) 548-6828 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHNNY MA
PRESIDENT
Phone: (909) 548-6828
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 51855

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.