NPIMap

Organization Active NPI

Bita Kerendian DDS Inc

  • Pediatric Dentistry
  • Torrance, CA
National Provider Identifier
1154545408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
44499 Issued in CA
Legal business name
BITA KERENDIAN DDS INC
Practice address
21229 Hawthorne Blvd
Suite B
Torrance, CA 90503-5501
Phone
(310) 792-5200
Fax
(310) 792-5201
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bita Kerendian
Title
Owner
Phone
(310) 792-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 44499 CA Primary

Addresses

Primary practice location

21229 Hawthorne Blvd
Suite B
Torrance, CA 90503-5501

Mailing address

21229 Hawthorne Blvd
Suite B
Torrance, CA 90503-5501
Phone (310) 792-5200

Other names 1

  • MAGICLAND DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154545408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 HAWTHORNE BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-792-5200",
            "fax_number": "310-792-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21229 HAWTHORNE BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-792-5200",
            "fax_number": "310-792-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITA KERENDIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERENDIAN",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-792-5200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGICLAND DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.