Organization Active NPI

Amanda Hanna DDS Inc

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1174287668
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMANDA HANNA DDS INC
Practice address
3710 Pacific Coast Hwy Ste 101
Torrance, CA 90505-5914
Phone
(310) 534-2633
Fax
(562) 658-2922
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Amanda H Archie, DDS
Title
Owner Dentist
Phone
(310) 534-2633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3710 Pacific Coast Hwy Ste 101
Torrance, CA 90505-5914

Mailing address

3710 Pacific Coast Hwy Ste 101
Torrance, CA 90505-5914
Phone (310) 534-2633

Other identifiers 1

IdentifierTypeStateIssuer
64093OtherCADENTIST

National Provider Directory

National Provider Directory

Locations

3710 Pacific Coast Hwy
#101
Torrance, CA 90505
Phone (310) 534-2633

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1174287668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 PACIFIC COAST HWY STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055914",
            "telephone_number": "310-534-2633",
            "fax_number": "562-658-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 PACIFIC COAST HWY STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055914",
            "telephone_number": "310-534-2633",
            "fax_number": "562-658-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA HANNA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-534-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "64093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2021; 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.