Lakewood Cerritos Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46236 Issued in CA

Legal business name

LAKEWOOD CERRITOS DENTAL CENTER

Practice address

5819 Adenmoor Ave
Lakewood, CA 90713-1067

Phone

(562) 804-2296

Fax

(562) 804-1686

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vahe Antanesian, DDSNPI 1285838730

Title

Owner/ Ceo

Phone

(562) 804-2296

Specialties & licenses 1

Addresses

Other names 1

• Antanesian, Vahe DDS DENTAL CORP Other name

Practitioners 3

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

• Vahe Antanesian, DDS

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1285838730
  NPD (past) Authorized official
• Ross Day, D.D.S.

  • Dentist
  • Lakewood, CA
  • NPI 1083954333
  NPD (past)
• Manoj Rastogi, DDS

  • Dentist
  • Redondo Beach, CA
  • NPI 1912201831
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1164979944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131067",
            "telephone_number": "562-804-2296",
            "fax_number": "562-804-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131067",
            "telephone_number": "562-804-2296",
            "fax_number": "562-804-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD CERRITOS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "ANTANESIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "562-804-2296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antanesian, Vahe DDS DENTAL CORP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• La and Oc Foot and Ankle Surgery Inc
• Keisha La Mere
• Lauren S Labarre
• Sherif Y Labatia, MD
• Lac-DMH
• Lakewood Cerritos Dental CTRS
• Lakewood Family Foot & Ankle
• Lakewood Functional Restoration ASC, LLC
• Lakewood Hospitalist Medical Group, Inc
• Lakewood Internal Medical Group

• General Practice Dentistry in Lakewood, CA
• Providers in Lakewood, 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, 2016; 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.