John S. Bettinger DDS, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D20059 Issued in CA

Legal business name

JOHN S. BETTINGER DDS, A PROFESSIONAL CORPORATION

Doing business as

John S. Bettinger DDS, A Prof. Corp.

Practice address

1417 26TH St Unit E
Santa Monica, CA 90404

Phone

(310) 394-7037

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. John S Bettinger, DDS

Title

President Owner

Phone

(310) 913-4762

Specialties & licenses 1

Addresses

Other names 1

• John S. Bettinger DDS, A Prof. Corp. Doing business as

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1215054796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 26TH ST UNIT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043053",
            "telephone_number": "310-394-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 26TH ST UNIT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-394-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. BETTINGER DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "BETTINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "310-913-4762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D20059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John S. Bettinger DDS, A Prof. Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John S. Bettinger DDS, A Prof. Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.