NPIMap

Organization Active NPI

Richard M. Abrams

Doing business as Gentle Dental Center

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1144342791
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23272 Issued in CA
Legal business name
RICHARD M. ABRAMS
Doing business as
Gentle Dental Center
Practice address
3311 Glendale Blvd
Los Angeles, CA 90039-1812
Phone
(323) 665-7665
Fax
(323) 665-1955
NPI assigned
Apr 4, 2007
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Richard M Abrams, DDSNPI 1447340310
Title
Dentist Owner
Phone
(323) 665-7665

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
General Practice Dentistry 1223G0001X 23272 CA Primary

Addresses

Primary practice location

3311 Glendale Blvd
Los Angeles, CA 90039-1812

Mailing address

3311 Glendale Blvd
Los Angeles, CA 90039-1812
Phone (323) 665-7665

Other identifiers 1

IdentifierTypeStateIssuer
G9287001MedicaidCA

Other names 1

  • Gentle Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

3311 Glendale Blvd
Los Angeles, CA 90039
Phone (323) 665-7665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1144342791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391812",
            "telephone_number": "323-665-7665",
            "fax_number": "323-953-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391812",
            "telephone_number": "323-665-7665",
            "fax_number": "323-665-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. ABRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "323-665-7665",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9287001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2014; 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.