Organization Active NPI

Westside Endodontics Inc

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1134555063
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WESTSIDE ENDODONTICS INC
Practice address
2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002
Phone
(310) 575-4143
Fax
(310) 575-4092
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Kwor Chieh Loo, DDSNPI 1235356551
Title
Owner
Phone
(310) 575-4143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002

Mailing address

2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002
Phone (310) 575-4143

National Provider Directory

National Provider Directory

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": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1134555063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640002",
            "telephone_number": "310-575-4143",
            "fax_number": "310-575-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640002",
            "telephone_number": "310-575-4143",
            "fax_number": "310-575-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ENDODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "KWOR",
        "authorized_official_middle_name": "CHIEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-575-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "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 31, 2024; 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.