F. Enriquez & N.Brajevich, Pediatric Dental Partnership

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• 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.