Organization Active NPI

Douglas S. Daniels, D.M.D. Inc.

  • Dentist
  • La Habra, CA
National Provider Identifier
1053671131
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36352 Issued in CA
Legal business name
DOUGLAS S. DANIELS, D.M.D. INC.
Practice address
640 E Whittier Blvd
La Habra, CA 90631-3929
Phone
(562) 694-3660
Fax
(562) 690-6181
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Douglas Steven Daniels, D.M.D.NPI 1346328374
Title
Owner
Phone
(562) 694-3660

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 36352 CA Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 54935 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 53060 CA
Dental AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 126800000X 42096 CA
Dental AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 126800000X 69076 CA

Addresses

Primary practice location

640 E Whittier Blvd
La Habra, CA 90631-3929

Mailing address

640 E Whittier Blvd
La Habra, CA 90631-3929
Phone (562) 694-3660

Other names 1

  • Daniels Dental Care Other name

National Provider Directory

National Provider Directory

Locations

640 E Whittier Blvd
La Habra, CA 90631
Phone (562) 694-3660

Practitioners & affiliated clinicians

Practitioners 1

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1053671131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313929",
            "telephone_number": "562-694-3660",
            "fax_number": "562-690-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313929",
            "telephone_number": "562-694-3660",
            "fax_number": "562-690-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS S. DANIELS, D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-694-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36352",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54935",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53060",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "42096",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "69076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.