NPIMap

Organization Active NPI

Walter Jefferson Dental Corporation

Doing business as PCH Smiles Dentistry and Orthodontics

  • Dentist
  • Torrance, CA
National Provider Identifier
1316291628
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WALTER JEFFERSON DENTAL CORPORATION
Doing business as
PCH Smiles Dentistry and Orthodontics
Practice address
2740 Pacific Coast Hwy
Torrance, CA 90505-7002
Phone
(310) 534-3002
Fax
(310) 534-3017
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Walter Jefferson, DDS
Title
Owner Doctor
Phone
(310) 534-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2740 Pacific Coast Hwy
Torrance, CA 90505-7002

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

  • PCH Smiles Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2740 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 534-3002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1316291628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057002",
            "telephone_number": "310-534-3002",
            "fax_number": "310-534-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER JEFFERSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "310-534-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Smiles Dentistry and Orthodontics",
            "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 Nov 8, 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.