Organization Active NPI

Dawnelle Park DDS, Inc.

  • Dentist
  • Torrance, CA
National Provider Identifier
1093252470
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAWNELLE PARK DDS, INC.
Practice address
3655 Lomita Blvd Ste 304
Torrance, CA 90505-1925
Phone
(310) 303-3860
Fax
(310) 303-3868
NPI assigned
Jan 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Dawnelle Park
Title
Owner/Dentist
Phone
(310) 303-3860

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

3655 Lomita Blvd Ste 304
Torrance, CA 90505-1925

Mailing address

3655 Lomita Blvd Ste 304
Torrance, CA 90505-1925
Phone (310) 303-3860

National Provider Directory

National Provider Directory

Locations

3655 Lomita Blvd
Ste 304
Torrance, CA 90505
Phone (310) 303-3860

Practitioners & affiliated clinicians

Practitioners 2

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": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1093252470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051925",
            "telephone_number": "310-303-3860",
            "fax_number": "310-303-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051925",
            "telephone_number": "310-303-3860",
            "fax_number": "310-303-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNELLE PARK DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DAWNELLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-303-3860"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.