Organization Active NPI

Larchmont Family Dentists - Kezian Dental Group

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1053151365
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LARCHMONT FAMILY DENTISTS - KEZIAN DENTAL GROUP
Practice address
443 N Larchmont Blvd
Los Angeles, CA 90004-3073
Phone
(323) 533-6872
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Dr. Michael KezianNPI 1609296581
Title
General Partner
Phone
(323) 533-6872

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

443 N Larchmont Blvd
Los Angeles, CA 90004-3073

Mailing address

443 N Larchmont Blvd
Los Angeles, CA 90004-3073
Phone (323) 467-2777

National Provider Directory

National Provider Directory

Locations

443 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 467-2777

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1053151365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043073",
            "telephone_number": "323-467-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043073",
            "telephone_number": "323-533-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT FAMILY DENTISTS - KEZIAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "KEZIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "323-533-6872",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2024; 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.