Active NPI
Edward A McLaren, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1003241548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31831
- Practice address
- 701 Thayer Ave
Los Angeles, CA 90024-3309 - Phone
- (310) 882-8272
- Fax
- (310) 474-2385
- NPI assigned
- Sep 3, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31831 | CA | Primary |
Addresses
Primary practice location
701 Thayer Ave
Los Angeles, CA 90024-3309
Mailing address
701 Thayer Ave
Los Angeles, CA 90024-3309
Phone (310) 882-8272
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 |
|---|---|---|---|
| 31831 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1003241548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 THAYER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243309",
"telephone_number": "310-882-8272",
"fax_number": "310-474-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 THAYER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243309",
"telephone_number": "310-882-8272",
"fax_number": "310-474-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAREN",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.