NPIMap

Organization Active NPI

Don Mungcal, D.D.S., Inc.

  • General Practice Dentistry
  • Manhattan Beach, CA
National Provider Identifier
1003133109
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38566 Issued in CA
Legal business name
DON MUNGCAL, D.D.S., INC.
Practice address
1213 Manhattan Ave
Manhattan Beach, CA 90266-4749
Phone
(310) 545-5910
NPI assigned
Apr 28, 2010
Organization subpart
Yes
Parent organization
MANHATTAN BEACH DENTAL SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Don Mungcal, DDS
Title
Owner
Phone
(213) 620-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38566 CA Primary

Addresses

Primary practice location

1213 Manhattan Ave
Manhattan Beach, CA 90266-4749

Mailing address

1213 Manhattan Ave
Manhattan Beach, CA 90266-4749
Phone (310) 545-5910

Other practice location 1

255 S Grand Ave
Suite # 204
Los Angeles, CA 90012-3015
Phone (213) 620-5777

Other names 2

  • Downtown Dental Doing business as
  • Manhattan Beach Dental Solutions Doing business as

National Provider Directory

National Provider Directory
Part of
Don Mungcal DDS Inc

Practitioners & affiliated clinicians

Practitioners 5

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1003133109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 MANHATTAN AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664749",
            "telephone_number": "310-545-5910",
            "fax_number": "213-620-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MANHATTAN AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664749",
            "telephone_number": "310-545-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Grand Ave",
            "address_2": "Suite # 204",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123015",
            "country_code": "US",
            "telephone_number": "213-620-5777",
            "fax_number": "213-620-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DON MUNGCAL, D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANHATTAN BEACH DENTAL SOLUTIONS",
        "enumeration_date": "2010-04-28",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-620-5777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manhattan Beach Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.