Active NPI
Marcus Stewart Dunsworth, D.D.S.
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1073762860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DY033922
- Practice address
- 5580 E 2ND St
#202
Long Beach, CA 90803-3946 - Phone
- (562) 439-0754
- Fax
- (562) 439-7355
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DY033922 | CA | Primary |
Addresses
Primary practice location
5580 E 2ND St
#202
Long Beach, CA 90803-3946
Mailing address
5580 E 2ND St
#202
Long Beach, CA 90803-3946
Phone (562) 439-0754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DY033922 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Emily & Dustin Dodds, a Professional Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Dodds Dental
- Dental Clinic/Center
- Long Beach, CA
- NPI 1669826897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1073762860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 E 2ND ST",
"address_2": "#202",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033946",
"telephone_number": "562-439-0754",
"fax_number": "562-439-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 E 2ND ST",
"address_2": "#202",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033946",
"telephone_number": "562-439-0754",
"fax_number": "562-439-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSWORTH",
"first_name": "MARCUS",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DY033922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.