NPIMap

Organization Active NPI

Madel P Lacson DMD Inc

  • Dentist
  • Commerce, CA
National Provider Identifier
1003938630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49353 Issued in CA
Legal business name
MADEL P LACSON DMD INC
Practice address
5211 E Washington Blvd
Suite #7
Commerce, CA 90040-3960
Phone
(323) 267-0000
Fax
(323) 265-4442
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Madel P Lacson, DMDNPI 1407079767
Title
President Dentist
Phone
(323) 267-0000

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 49353 CA Primary

Addresses

Primary practice location

5211 E Washington Blvd
Suite #7
Commerce, CA 90040-3960

Mailing address

5211 E Washington Blvd
Suite #7
Commerce, CA 90040-3960
Phone (323) 267-0000

Other identifiers 1

IdentifierTypeStateIssuer
G9407601OtherCAMEDICAL DENTAL PROGRAM

National Provider Directory

National Provider Directory

Locations

5211 E Washington Blvd
Ste 7
Commerce, CA 90040
Phone (323) 267-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003938630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 E WASHINGTON BLVD",
            "address_2": "SUITE #7",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900403960",
            "telephone_number": "323-267-0000",
            "fax_number": "323-265-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 E WASHINGTON BLVD",
            "address_2": "SUITE #7",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900403960",
            "telephone_number": "323-267-0000",
            "fax_number": "323-265-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADEL P LACSON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACSON",
        "authorized_official_first_name": "MADEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "323-267-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DENTAL PROGRAM",
            "identifier": "G9407601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.