Active NPI
Prairie Family Dentistry
- General Practice Dentistry
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48162
- Legal business name
- PRAIRIE FAMILY DENTISTRY
- Practice address
- 3949 Artesia Blvd
Torrance, CA 90504-3210 - Phone
- (310) 303-3988
- Fax
- (310) 303-3919
- NPI assigned
- Apr 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ludivina Luis Pagatpatan
- Title
- Owner
- Phone
- (310) 303-3988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48162 | CA | Primary |
Addresses
Primary practice location
3949 Artesia Blvd
Torrance, CA 90504-3210
Mailing address
3949 Artesia Blvd
Torrance, CA 90504-3210
Phone (310) 303-3988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9282301 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Ludivina L Pagatpatanddsinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Torrance, CA
- NPI 1699164194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043273535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 ARTESIA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043210",
"telephone_number": "310-303-3988",
"fax_number": "310-303-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 ARTESIA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043210",
"telephone_number": "310-303-3988",
"fax_number": "310-303-3919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAGATPATAN",
"authorized_official_first_name": "LUDIVINA",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-303-3988",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9282301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.