Complete Dental Care Dental Group, Office of Darien Ephram D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60862 Issued in CA

Legal business name

COMPLETE DENTAL CARE DENTAL GROUP, OFFICE OF DARIEN EPHRAM D.D.S.

Practice address

13402 Hawthorne Blvd
Hawthorne, CA 90250-5806

Phone

(310) 675-3030

Fax

(301) 676-1154

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Darien Ephram, D.D.S.

Title

President

Phone

(310) 422-2802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1023474103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505806",
            "telephone_number": "310-675-3030",
            "fax_number": "301-676-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505806",
            "telephone_number": "310-675-3030",
            "fax_number": "301-676-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE DENTAL GROUP, OFFICE OF DARIEN EPHRAM D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "EPHRAM",
        "authorized_official_first_name": "DARIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-422-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azana Coleman
• Hector Eduardo Collantes Jr., PA-C
• Austin Charles Collazo, DDS
• Dorin Melida Collins, AMFT
• Chrystal Amalia Colon, RDA
• Complete Medical Healthcare Consulting, Inc
• Complete Sleep Inc
• Constant Resource LLC
• Consumerhealth, Inc.
• Continuity Providers Healthcare Inc.

• All providers in Hawthorne, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.