Active NPI
Jon M Monette DDS Inc
- Dentist
- Redondo Beach, CA
National Provider Identifier
1336513126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40682
- Legal business name
- JON M MONETTE DDS INC
- Practice address
- 1921 S Catalina Ave Ste 1
Redondo Beach, CA 90277-5516 - Phone
- (310) 375-3338
- Fax
- (310) 375-3044
- NPI assigned
- Nov 17, 2015
- Last updated
- Nov 17, 2015
- 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
- Dr. Jon Mark Monette, D.D.S.
- Title
- President/Dentist
- Phone
- (310) 780-6266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40682 | CA | Primary |
| Customized Equipment (DME) | 332BC3200X | 40682 | CA |
Addresses
Primary practice location
1921 S Catalina Ave Ste 1
Redondo Beach, CA 90277-5516
Mailing address
1921 S Catalina Ave Ste 1
Redondo Beach, CA 90277-5516
Phone (310) 375-3338
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Redondo Beach, CA
- NPI 1790866978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447718400000",
"number": "1336513126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 S CATALINA AVE STE 1",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775516",
"telephone_number": "310-375-3338",
"fax_number": "310-375-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 S CATALINA AVE STE 1",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775516",
"telephone_number": "310-375-3338",
"fax_number": "310-375-3044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON M MONETTE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A",
"authorized_official_last_name": "MONETTE",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "310-780-6266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "40682",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "40682",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.