Organization Active NPI

Manuel Roman Dental Corp

  • Dental Clinic/Center
  • Bellflower, CA
National Provider Identifier
1245857887
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANUEL ROMAN DENTAL CORP
Doing business as
Enhancing Smiles Dental
Practice address
17024 Clark Ave
Bellflower, CA 90706-5700
Phone
(424) 391-9060
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Mr. Manuel S Roman, D.D.SNPI 1285272120
Title
Dentist /Owner
Phone
(424) 391-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17024 Clark Ave
Bellflower, CA 90706-5700

Mailing address

24440 Ward St
Torrance, CA 90505-6517
Phone (424) 391-9060

Other names 1

  • Enhancing Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

17024 Clark Ave
Bellflower, CA 90706
Phone (424) 391-9060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1245857887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24440 WARD ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056517",
            "telephone_number": "424-391-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17024 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065700",
            "telephone_number": "424-391-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL ROMAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST /OWNER",
        "authorized_official_telephone_number": "424-391-9060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhancing Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.