NPIMap

Organization Active NPI

Bazos Dental Corporation, a Professional Corporation

  • Dentist
  • Torrance, CA
National Provider Identifier
1003338708
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43519 Issued in CA
Legal business name
BAZOS DENTAL CORPORATION, A PROFESSIONAL CORPORATION
Practice address
23530 Hawthorne Blvd Ste 280
Torrance, CA 90505-4767
Phone
(310) 378-1479
Fax
(310) 378-1479
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Dr. Vasiliki Bazos, DDSNPI 1699947861
Title
Owner
Phone
(310) 378-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43519 CA Primary

Addresses

Primary practice location

23530 Hawthorne Blvd Ste 280
Torrance, CA 90505-4767

Mailing address

23530 Hawthorne Blvd Ste 280
Torrance, CA 90505-4767
Phone (310) 378-1479

National Provider Directory

National Provider Directory

Locations

23530 Hawthorne Blvd
Ste 280
Torrance, CA 90505
Phone (310) 378-1479

Practitioners & affiliated clinicians

Practitioners 4

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1003338708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD STE 280",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054767",
            "telephone_number": "310-378-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD STE 280",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054767",
            "telephone_number": "310-378-1479",
            "fax_number": "310-378-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZOS DENTAL CORPORATION, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "BAZOS",
        "authorized_official_first_name": "VASILIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-378-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43519",
            "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 13, 2017; 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.