Organization Active NPI

Jerome a Guttman Dental Practice, Inc

  • Dental Clinic/Center
  • Playa del Rey, CA
National Provider Identifier
1013213131
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEROME A GUTTMAN DENTAL PRACTICE, INC
Practice address
211 Culver Blvd
Suite T
Playa del Rey, CA 90293-7788
Phone
(310) 827-5094
Fax
(310) 821-3417
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Dr. Jerome Alan Guttman, D.D.S.NPI 1598811846
Title
President
Phone
(310) 827-5094

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

211 Culver Blvd
Suite T
Playa del Rey, CA 90293-7788

Mailing address

211 Culver Blvd
Suite T
Playa del Rey, CA 90293-7788
Phone (310) 827-5094

National Provider Directory

National Provider Directory

Locations

211 Culver Blvd
Ste T
Playa del Rey, CA 90293
Phone (310) 827-5094

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": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1013213131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD",
            "address_2": "SUITE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937788",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD",
            "address_2": "SUITE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937788",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME A GUTTMAN DENTAL PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-827-5094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.