Dr. Patricia Panucci

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

51124 Issued in CA

Legal business name

DR. PATRICIA PANUCCI

Practice address

1730 Manhattan Beach Blvd
Suite B
Manhattan Beach, CA 90266-6220

Phone

(310) 379-0006

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Panucci, D.M.D., M.S.NPI 1235240417

Title

Owner

Phone

(310) 379-0006

Specialties & licenses 1

Addresses

Other names 1

• Beach Braces Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia J Panucci, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manhattan Beach, CA
  • NPI 1235240417
  NPD (past) Authorized official

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1053707265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MANHATTAN BEACH BLVD",
            "address_2": "SUITE B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666220",
            "telephone_number": "310-379-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MANHATTAN BEACH BLVD",
            "address_2": "SUITE B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666220",
            "telephone_number": "310-379-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICIA PANUCCI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "PANUCCI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-379-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Braces",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Downs, MFT TRAINEE
• Margo Doxakis Stein, MFT PSYCOTHERAPIST
• Dr Charles Small Sport and Spine Chiropractic and Physical Medicine
• Dr Guzik Psychology Inc
• Dr. Lori Zaremski, PHD
• Suzanne Michele Dugan, PH.D.
• Kathryn Duncan
• Ngoc H Duong, DO
• Suzanne Maree Dupee, MD
• Jake Walsh Dupree, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.