Active NPI
F. Enriquez & N.Brajevich, Pediatric Dental Partnership
- Pediatric Dentistry
- Torrance, CA
National Provider Identifier
1174649065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 41064
- Legal business name
- F. ENRIQUEZ & N.BRAJEVICH, PEDIATRIC DENTAL PARTNERSHIP
- Practice address
- 23727 Hawthorne Blvd
Suite 4B
Torrance, CA 90505-5938 - Phone
- (310) 378-1283
- Fax
- (310) 378-3549
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas John Brajevich, D.D.S.
- Title
- Partner
- Phone
- (310) 378-1283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 41064 | CA | Primary |
Addresses
Primary practice location
23727 Hawthorne Blvd
Suite 4B
Torrance, CA 90505-5938
Mailing address
23727 Hawthorne Blvd
Suite 4B
Torrance, CA 90505-5938
Phone (310) 378-1283
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Torrance, CA
- NPI 1801138094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247011200000",
"number": "1174649065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23727 HAWTHORNE BLVD",
"address_2": "SUITE 4B",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055938",
"telephone_number": "310-378-1283",
"fax_number": "310-378-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23727 HAWTHORNE BLVD",
"address_2": "SUITE 4B",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055938",
"telephone_number": "310-378-1283",
"fax_number": "310-378-3549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F. ENRIQUEZ & N.BRAJEVICH, PEDIATRIC DENTAL PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2009-07-08",
"status": "A",
"authorized_official_last_name": "BRAJEVICH",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "310-378-1283",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "41064",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.