NPIMap

Organization Active NPI

Dr. Campbell'S Century Dental

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Culver City, CA
National Provider Identifier
1114134384
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. CAMPBELL'S CENTURY DENTAL
Practice address
10842 Washington Blvd
Culver City, CA 90232-3610
Phone
(310) 559-2935
Fax
(310) 559-0859
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. David Stuart Carlos, D.D.S.
Title
C.E.O.
Phone
(626) 585-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10842 Washington Blvd
Culver City, CA 90232-3610

Mailing address

1955 Lake Ave
Altadena, CA 91001-3037
Phone (626) 585-9544

National Provider Directory

National Provider Directory
Tax ID family
Dr Campbell'S Century Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1114134384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013037",
            "telephone_number": "626-585-9544",
            "fax_number": "626-449-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-559-2935",
            "fax_number": "310-559-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMPBELL'S CENTURY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "626-585-9544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.