Organization Active NPI

Mariano M. Ordonez, Jr., D.M.D., a Dental Corp.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1083836837
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27470 Issued in CA
Legal business name
MARIANO M. ORDONEZ, JR., D.M.D., A DENTAL CORP.
Practice address
2542 W 3Rd St
Suite F
Los Angeles, CA 90057-1929
Phone
(213) 384-2204
Fax
(213) 384-4644
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mrs. Lorelei Montelibano Ordonez
Title
Office Manager
Phone
(213) 384-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27470 CA Primary

Addresses

Primary practice location

2542 W 3Rd St
Suite F
Los Angeles, CA 90057-1929

Mailing address

2542 W 3Rd St
Suite F
Los Angeles, CA 90057-1929
Phone (213) 384-2204

National Provider Directory

National Provider Directory

Locations

2542 W 3rd St
Ste F
Los Angeles, CA 90057
Phone (213) 384-2204

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1083836837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 W 3RD ST",
            "address_2": "SUITE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571929",
            "telephone_number": "213-384-2204",
            "fax_number": "213-384-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 W 3RD ST",
            "address_2": "SUITE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571929",
            "telephone_number": "213-384-2204",
            "fax_number": "213-384-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO M. ORDONEZ, JR., D.M.D., A DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ",
        "authorized_official_first_name": "LORELEI",
        "authorized_official_middle_name": "MONTELIBANO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-384-2204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 5, 2011; 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.