Organization Active NPI

Tweedy Dental Care

  • General Practice Dentistry
  • South Gate, CA
National Provider Identifier
1194121186
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TWEEDY DENTAL CARE
Practice address
4355 Tweedy Blvd
South Gate, CA 90280-6236
Phone
(323) 484-9923
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Miss Stella Marisol Herrera
Title
C.E.O
Phone
(626) 428-8819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4355 Tweedy Blvd
South Gate, CA 90280-6236

Mailing address

4355 Tweedy Blvd
South Gate, CA 90280-6236
Phone (323) 484-9923

National Provider Directory

National Provider Directory

Locations

4355 Tweedy Blvd
South Gate, CA 90280
Phone (323) 357-7900

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1194121186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806236",
            "telephone_number": "323-484-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806236",
            "telephone_number": "323-484-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWEEDY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "MARISOL",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "626-428-8819",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.