Organization Active NPI

Arturo Ibarra D.D.S. Inc

Doing business as Dental Jalisco

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1053772814
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31287 Issued in CA
Legal business name
ARTURO IBARRA D.D.S. INC
Doing business as
Dental Jalisco
Practice address
3604 East 1St Street
Los Angeles, CA 90063
Phone
(323) 260-7173
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Arturo Ibarra, D.D.S.
Title
Owner
Phone
(323) 260-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31287 CA Primary

Addresses

Primary practice location

3604 East 1St Street
Los Angeles, CA 90063

Mailing address

3604 East 1St Street
Los Angeles, CA 90063
Phone (323) 260-7173

Other names 1

  • Dental Jalisco Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arturo Ibarra DDS Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1053772814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 EAST 1ST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-260-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 EAST 1ST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-260-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTURO IBARRA D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-260-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Jalisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2016; 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.