NPIMap

Organization Active NPI

Just Smile Dental Center,Dental Group of Adonis Regala,D.D.S., Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1275944167
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43555 Issued in CA
Legal business name
JUST SMILE DENTAL CENTER,DENTAL GROUP OF ADONIS REGALA,D.D.S., INC
Practice address
1269 S Union Ave
Los Angeles, CA 90015-2043
Phone
(213) 251-1400
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Adonis Manalo Regala, DDS
Title
Dentist
Phone
(213) 251-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 43555 CA Primary

Addresses

Primary practice location

1269 S Union Ave
Los Angeles, CA 90015-2043

Mailing address

1269 S Union Ave
Los Angeles, CA 90015-2043
Phone (213) 251-1400

Other names 1

  • JUST SMILE DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adonis Regala DDS Inc2 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": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1275944167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-251-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-251-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILE DENTAL CENTER,DENTAL GROUP OF ADONIS REGALA,D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "REGALA",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "MANALO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-251-1400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUST SMILE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.