Organization Active NPI

Dell Dental Corporation

Doing business as LA DENTAL BRACES - Los Angeles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1073497111
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DELL DENTAL CORPORATION
Doing business as
LA DENTAL BRACES - Los Angeles
Practice address
1127 Wilshire Blvd Ste 404
Los Angeles, CA 90017-3905
Phone
(213) 423-1127
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Paulo Dos Santos
Title
Secretary
Phone
(619) 302-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 404
Los Angeles, CA 90017-3905

Mailing address

6699 Alvarado Rd Ste 2202
San Diego, CA 92120-5293
Phone (619) 302-3804

Other names 1

  • LA DENTAL BRACES - Los Angeles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1073497111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205293",
            "telephone_number": "619-302-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173905",
            "telephone_number": "213-423-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "PAULO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "619-302-3804"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA DENTAL BRACES - Los Angeles",
            "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 Aug 1, 2025; 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.