NPIMap

Organization Active NPI

El Monte Dental Group

  • Dentist
  • Baldwin Park, CA
National Provider Identifier
1174714547
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27016 Issued in CA
Legal business name
EL MONTE DENTAL GROUP
Practice address
13734 Ramona Ave
Baldwin Park, CA 91706-2430
Phone
(626) 960-6616
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. David Kutner D.MD Kutner, D.M.D
Title
Dentist
Phone
(626) 442-4582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27016 CA Primary

Addresses

Primary practice location

13734 Ramona Ave
Baldwin Park, CA 91706-2430

Mailing address

3701 Santa Anita Ave
El Monte, CA 91731-2430
Phone (626) 442-4582

Other names 1

  • El Monte Dental Group Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
American Family Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3701 Santa Anita Ave
El Monte, CA 91731
Phone (626) 442-4582

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1174714547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312430",
            "telephone_number": "626-442-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13734 RAMONA AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062430",
            "telephone_number": "626-960-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KUTNER",
        "authorized_official_first_name": "DAVID KUTNER D.MD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-442-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Monte Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.