Active NPI
Shen Ling, D.M.D
- Periodontics
- Torrance, CA
National Provider Identifier
1003029927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 42742
- Practice address
- 23244 Hawthorne Blvd
Torrance, CA 90505-3719 - Phone
- (310) 373-8520
- Fax
- (310) 373-0621
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 42742 | CA | Primary |
Addresses
Primary practice location
23244 Hawthorne Blvd
Torrance, CA 90505-3719
Mailing address
25 Horseshoe Lane
Rolling Hills Estates, CA 90274
Phone (310) 377-6162
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42742 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003029927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HORSESHOE LANE",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "90274",
"telephone_number": "310-377-6162",
"fax_number": "310-377-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23244 HAWTHORNE BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053719",
"telephone_number": "310-373-8520",
"fax_number": "310-373-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LING",
"first_name": "SHEN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "42742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.