NPIMap

Organization Active NPI

Koutchekpour & Spero, a Professional Corporation

  • General Practice Dentistry
  • Commerce, CA
National Provider Identifier
1033699236
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOUTCHEKPOUR & SPERO, A PROFESSIONAL CORPORATION
Practice address
100 Citadel Dr Ste 101
Commerce, CA 90040-1579
Phone
(323) 725-6700
Fax
(323) 725-0756
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Vincent Spero, DDSNPI 1558537597
Title
Dentist
Phone
(323) 725-6700

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 Citadel Dr Ste 101
Commerce, CA 90040-1579

Mailing address

100 Citadel Dr Ste 101
Commerce, CA 90040-1579
Phone (323) 725-6700

National Provider Directory

National Provider Directory
Tax ID family
Koutchekpour Spero a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Citadel Dr
Ste 101
Commerce, CA 90040
Phone (323) 725-6700

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1033699236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CITADEL DR STE 101",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401579",
            "telephone_number": "323-725-6700",
            "fax_number": "323-725-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CITADEL DR STE 101",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401579",
            "telephone_number": "323-725-6700",
            "fax_number": "323-725-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUTCHEKPOUR & SPERO, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "SPERO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-725-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.