NPIMap

Organization Active NPI

Scott a Fishman DDS Inc.

  • Pediatric Dentistry
  • Downey, CA
National Provider Identifier
1306178124
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
42311 Issued in CA
Legal business name
SCOTT A FISHMAN DDS INC.
Doing business as
Pediatric Dental Arts
Practice address
9818 Paramount Blvd
Suite a
Downey, CA 90240-4408
Phone
(562) 927-6453
Fax
(562) 927-3400
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Scott Fishman, DDS
Title
Ceo
Phone
(562) 927-6453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 42311 CA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 42311 CA Primary

Addresses

Primary practice location

9818 Paramount Blvd
Suite a
Downey, CA 90240-4408

Mailing address

9818 Paramount Blvd
Suite a
Downey, CA 90240-4408
Phone (562) 927-6453

Other names 1

  • Pediatric Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

9818 Paramount Blvd
Ste A
Downey, CA 90240
Phone (562) 927-6453

Practitioners & affiliated clinicians

Practitioners 2

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1306178124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 PARAMOUNT BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404408",
            "telephone_number": "562-927-6453",
            "fax_number": "562-927-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 PARAMOUNT BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404408",
            "telephone_number": "562-927-6453",
            "fax_number": "562-927-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A FISHMAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-927-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42311",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.