Edward Nam Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDWARD NAM DENTAL CORPORATION

Practice address

1505 Shepard Dr Ste 202
Santa Maria, CA 93454-7016

Phone

(805) 925-1425

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Nam, DDSNPI 1285074096

Title

Ceo Dentist

Phone

(213) 604-2816

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Sungwon Nam, DDS

  • General Practice Dentistry
  • York, PA
  • NPI 1285074096
  NPD Authorized official
• Eric Daniel Kirk, D.D.S.

  • General Practice Dentistry
  • Santa Maria, CA
  • NPI 1154499838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1013610732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-925-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-925-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD NAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO DENTIST",
        "authorized_official_telephone_number": "213-604-2816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan V Ebner, R.N.
• Sheryhan M Ebrahim
• Dannette D Echavarria, RN
• Alan S Edelman
• Edward a Smith, M.D., Inc.
• Dimitri Egan
• Matthew Ross Egbert, D.C.
• Sarah Rose Eichenbaum, RD
• Matthew Eisele
• Ashley Eister

• Dental Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.