Dominguez Hills Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34086 Issued in CA

Legal business name

DOMINGUEZ HILLS DENTAL GROUP

Practice address

20930 Bonita St
Suite T
Carson, CA 90746-3680

Phone

(310) 515-1490

Fax

(310) 515-0032

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Duncan, D.D.S.NPI 1215004510

Title

Chief Executive Officer

Phone

(310) 515-1490

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Duncan, DDS

  • General Practice Dentistry
  • Carson, CA
  • NPI 1215004510
  NPD (past) Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1154722254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 BONITA ST",
            "address_2": "SUITE T",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463680",
            "telephone_number": "310-515-1490",
            "fax_number": "310-515-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 BONITA ST",
            "address_2": "SUITE T",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463680",
            "telephone_number": "310-515-1490",
            "fax_number": "310-515-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ HILLS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-515-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iluminada Diego, MD
• Dignity Hospice Provider
• Cuc Dinh, R.PH
• Divine Holy Homehealth Inc
• Dixon Recovery Institute,Inc. 2
• Norma Dominguez-Fabian, MA
• Denielle Dominguez
• Liliana Dominguez
• Joann N Dong, PHARM.D.
• Dr Eric Sports and Rehab

• General Practice Dentistry in Carson, CA
• Providers in Carson, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.