NPIMap

Organization Active NPI

Feld/Rosenberg-a Dental Partnership

Doing business as Southeast Dental Group

  • General Practice Dentistry
  • Maywood, CA
National Provider Identifier
1275896763
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24774 Issued in CA
Legal business name
FELD/ROSENBERG-A DENTAL PARTNERSHIP
Doing business as
Southeast Dental Group
Practice address
4332 Slauson Ave
Maywood, CA 90270-2800
Phone
(323) 771-7777
Fax
(323) 562-5209
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Maria Olmos
Title
Office Manager
Phone
(323) 771-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24774 CA Primary

Addresses

Primary practice location

4332 Slauson Ave
Maywood, CA 90270-2800

Mailing address

4332 Slauson Ave
Maywood, CA 90270-2800
Phone (323) 771-7777

Other names 1

  • Southeast Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Feldrosenberg-a Dental Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1275896763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702800",
            "telephone_number": "323-771-7777",
            "fax_number": "323-562-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702800",
            "telephone_number": "323-771-7777",
            "fax_number": "323-562-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELD/ROSENBERG-A DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-771-7777"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.