Active NPI
Ma Dental Corporation
- General Practice Dentistry
- Torrance, CA
National Provider Identifier
1295876571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44421
- Legal business name
- MA DENTAL CORPORATION
- Doing business as
- Ma Family Dental
- Practice address
- 3655 Lomita Blvd
Suite 109
Torrance, CA 90505-3931 - Phone
- (310) 373-6565
- Fax
- (310) 373-6553
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Ma, D.D.S.
- Title
- Owner
- Phone
- (310) 373-6565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44421 | CA | Primary |
Addresses
Primary practice location
3655 Lomita Blvd
Suite 109
Torrance, CA 90505-3931
Mailing address
3655 Lomita Blvd
Suite 109
Torrance, CA 90505-3931
Phone (310) 373-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 962057 | Other | UNITED CONCORDIA |
Other names 1
- Ma Family Dental
National Provider Directory
National Provider DirectoryLocations
3655 Lomita Blvd
Ste 109
Torrance, CA 90505
Phone (310) 373-6565
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Torrance, CA
- NPI 1689141905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295876571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD",
"address_2": "SUITE 109",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053931",
"telephone_number": "310-373-6565",
"fax_number": "310-373-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD",
"address_2": "SUITE 109",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053931",
"telephone_number": "310-373-6565",
"fax_number": "310-373-6553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-373-6565",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "962057",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ma Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 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.