Individual provider Active NPI

Ankur Mohindra, D.D.S.

  • Dentist
  • Redondo Beach, CA
National Provider Identifier
1336377571
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52434 Issued in CA
Practice address
1951 Artesia Blvd
Suite 102
Redondo Beach, CA 90278-2985
Phone
(310) 303-7930
Fax
(310) 303-7938
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52434 CA Primary

Addresses

Primary practice location

1951 Artesia Blvd
Suite 102
Redondo Beach, CA 90278-2985

Mailing address

1951 Artesia Blvd
Suite 102
Redondo Beach, CA 90278-2985
Phone (310) 303-7930

Other practice location 1

1200 Rosecrans Ave Ste 107
Manhattan Beach, CA 90266-2470
Phone (310) 640-0967

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.smileworks.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohindra & Razi Dental Partnership Current Accepting new patients
Labounty Dental, Inc. Past Accepting new patients
Ankur Mohindra DDS, Inc. Past Accepting new patients

Locations

1200 Rosecrans Ave
Ste 107
Manhattan Beach, CA 90266
Phone (310) 640-0967

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.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1336377571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 ARTESIA BLVD",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782985",
            "telephone_number": "310-303-7930",
            "fax_number": "310-303-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 ARTESIA BLVD",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782985",
            "telephone_number": "310-303-7930",
            "fax_number": "310-303-7938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Rosecrans Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662470",
            "country_code": "US",
            "telephone_number": "310-640-0967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHINDRA",
        "first_name": "ANKUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.smileworks.com",
            "affiliation": "N",
            "address_1": "1951 Artesia Blvd",
            "address_2": "Suite 102",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902782985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.