Organization Active NPI

Westchester Pediatric Dentistry

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1013101690
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
47352 Issued in CA
Legal business name
WESTCHESTER PEDIATRIC DENTISTRY
Practice address
8540 S Sepulveda Blvd Ste 710
Los Angeles, CA 90045-3818
Phone
(310) 216-5754
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Christie Rachelle Burnett, DDSNPI 1467588384
Title
Partner
Phone
(310) 216-5754

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 47352 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 710
Los Angeles, CA 90045-3818

Mailing address

8540 S Sepulveda Blvd Ste 710
Los Angeles, CA 90045-3818
Phone (310) 216-5754

National Provider Directory

National Provider Directory

Locations

8540 S Sepulveda Blvd
Ste 710
Los Angeles, CA 90045
Phone (310) 214-8677

Practitioners & affiliated clinicians

Practitioners 2

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1013101690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-216-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-216-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-216-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47352",
            "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 Aug 28, 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.

Verify at the official NPI Registry.