Organization Active NPI

Michael Ny Ma Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1033319983
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28954 Issued in CA
Legal business name
MICHAEL NY MA DENTAL CORPORATION
Practice address
711 W College St
Suite 570
Los Angeles, CA 90012-1163
Phone
(213) 617-9151
Fax
(213) 617-1428
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Michael Ny Ma, D.D.S.NPI 1396838652
Title
President
Phone
(213) 617-9151

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28954 CA Primary

Addresses

Primary practice location

711 W College St
Suite 570
Los Angeles, CA 90012-1163

Mailing address

711 W College St
Suite 570
Los Angeles, CA 90012-1163

Other names 1

  • EAST WEST DENTAL OFFICE Doing business as

National Provider Directory

National Provider Directory

Locations

711 W College St
Ste 570
Los Angeles, CA 90012
Phone (213) 617-9151

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1033319983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 570",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 570",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-617-9151",
            "fax_number": "213-617-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NY MA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-617-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST WEST DENTAL OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 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.