Organization Active NPI

Uppal Dental Corp

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1336451368
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS55640 Issued in CA
Legal business name
UPPAL DENTAL CORP
Doing business as
Vermont Family Dentistry
Practice address
1014 N Vermont Ave
Los Angeles, CA 90029-2620
Phone
(732) 254-1994
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Gagan Uppal, DMD
Title
Owner
Phone
(732) 254-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS55640 CA Primary

Addresses

Primary practice location

1014 N Vermont Ave
Los Angeles, CA 90029-2620

Mailing address

1014 N Vermont Ave
Los Angeles, CA 90029-2620

Other names 1

  • Vermont Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1336451368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "732-254-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-254-1994",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DDS55640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.