Active NPI
Ross Day, D.D.S.
- Dentist
- Lakewood, CA
National Provider Identifier
1083954333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24764
- Practice address
- 5819 Adenmoor Ave
Lakewood, CA 90713-1067 - Phone
- (562) 804-2296
- NPI assigned
- Feb 24, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 24764 | CA | Primary |
Addresses
Primary practice location
5819 Adenmoor Ave
Lakewood, CA 90713-1067
Mailing address
PO Box 6916
Norco, CA 92860-8064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D24764 | Other | CA | DENTALCAL |
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 |
|---|---|---|---|
| 24764 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Cerritos Dental CTRS | Past | Accepting new patients | |
| Lakewood Cerritos Dental Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lakewood, CA
- NPI 1164979944
-
- General Practice Dentistry
- Lakewood, CA
- NPI 1407124290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361664000000",
"number": "1083954333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6916",
"city": "NORCO",
"state": "CA",
"postal_code": "928608064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5819 ADENMOOR AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131067",
"telephone_number": "562-804-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "ROSS",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-24",
"last_updated": "2013-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "24764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTALCAL",
"identifier": "D24764",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.