Abaro DDS Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ABARO DDS CORP

Practice address

4346 South St
Lakewood, CA 90712-1152

Phone

(562) 408-3500

Fax

(562) 408-3736

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Faviola Silva

Title

Regional Billing Manager

Phone

(323) 835-6839

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakewood Dental & Orthodontics Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1194487330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121152",
            "telephone_number": "562-408-3500",
            "fax_number": "562-408-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121152",
            "telephone_number": "562-408-3500",
            "fax_number": "562-408-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABARO DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "FAVIOLA",
        "authorized_official_title_or_position": "REGIONAL BILLING MANAGER",
        "authorized_official_telephone_number": "323-835-6839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306984596",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakewooddentistryandorthdontics.com",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4346 South St",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907121152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakewood Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Professional Chiropractic Corp.
• Daniel Aartman
• ABA Another Way
• ABA Your Way LLC
• Alicia Seril Abagat, CMT
• Edgar A Abbes, DPM
• Muhammed Abdel-Aal
• Sam W. Abdelmelek, MD
• Prince Abraham
• Sarah Abulkalam, PHARMD

• Dental Clinic/Center in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.