Active NPI
Todd Emigh, DDS
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1093093890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60598
- Practice address
- 3325 Palo Verde Ave
#208
Long Beach, CA 90808-4132 - Phone
- (562) 424-6200
- NPI assigned
- Jul 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 60598 | CA | Primary |
Addresses
Primary practice location
3325 Palo Verde Ave
#208
Long Beach, CA 90808-4132
Mailing address
2440 Stearnlee Ave
Long Beach, CA 90815-1941
Phone (562) 900-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150828002376 | CA | Order and Referring Only - Dentist | 9638485162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60597 | CA | MD | Pediatric Dentist |
| 60598 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1093093890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 STEARNLEE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151941",
"telephone_number": "562-900-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 PALO VERDE AVE",
"address_2": "#208",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084132",
"telephone_number": "562-424-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMIGH",
"first_name": "TODD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "60598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
- Alyson Dean Emery, DDS
- Douglas Vernon Emery, DDS
- Emigh Dental Partnership a General Partnership
- Patrick Alan Emigh, D.D.S.
- Robert Forrest Emigh, D.D.S.
- Emmanuel Medical Supply
- Jennifer Emmett
- Empatia Counseling Services a Licensed Clinical Social Worker Co
- Vasti Emperatriz, PTA
- Empower Marriage and Family Therapy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.