Active NPI
Manuel S Roman
- General Practice Dentistry
- Torrance, CA
National Provider Identifier
1285272120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104588
- Practice address
- 23520 Crenshaw Blvd
Torrance, CA 90505-5203 - Phone
- (310) 539-7835
- NPI assigned
- Dec 11, 2019
- Last updated
- Dec 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104588 | CA | Primary |
Addresses
Primary practice location
23520 Crenshaw Blvd
Torrance, CA 90505-5203
Mailing address
24440 Ward St
Torrance, CA 90505-6517
Phone (424) 391-9060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | API | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104588 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manuel Roman Dental Corp | Current | Accepting new patients | |
| Daniel Teboul, DDS, Inc. | Past | Accepting new patients | |
| Lomita-Torrance Dental Leasing Co. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Enhancing Smiles Dental
- Dental Clinic/Center
- Bellflower, CA
- NPI 1245857887
-
dba Lomita-Torrance Dental Office
- Dentist
- Torrance, CA
- NPI 1871603704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1285272120",
"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": "23520 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055203",
"telephone_number": "310-539-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "MANUEL",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104588",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "API",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24440 Ward St",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905056517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.