Organization Active NPI

E Gabriel DMD, Inc

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1154513265
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39958 Issued in CA
Legal business name
E GABRIEL DMD, INC
Practice address
615 E Broadway
#102
Long Beach, CA 90802-5113
Phone
(562) 624-0990
Fax
(562) 624-0950
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Emerenciana G Gabriel, DMDNPI 1528156338
Title
Dentist/Owner
Phone
(562) 624-0990

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39958 CA Primary

Addresses

Primary practice location

615 E Broadway
#102
Long Beach, CA 90802-5113

Mailing address

615 E Broadway
#102
Long Beach, CA 90802-5113
Phone (562) 624-0990

National Provider Directory

National Provider Directory

Locations

615 E Broadway
Ste 102
Long Beach, CA 90802
Phone (562) 624-0990

Practitioners & affiliated clinicians

Practitioners 1

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1154513265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E BROADWAY",
            "address_2": "#102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025113",
            "telephone_number": "562-624-0990",
            "fax_number": "562-624-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E BROADWAY",
            "address_2": "#102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025113",
            "telephone_number": "562-624-0990",
            "fax_number": "562-624-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E GABRIEL DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "EMERENCIANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "562-624-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.