Organization Active NPI

F. Enriquez & N.Brajevich, Pediatric Dental Partnership

  • Pediatric Dentistry
  • Torrance, CA
National Provider Identifier
1174649065
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
41064 Issued in CA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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.NPI 1801138094
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.