NPIMap

Organization Active NPI

Joel F. Brodsky DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CA
National Provider Identifier
1346572948
Registry record updated Feb 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24275 Issued in CA
Legal business name
JOEL F. BRODSKY DDS INC
Practice address
5920 Del Amo Blvd
Lakewood, CA 90713-1949
Phone
(562) 496-2000
Fax
(562) 497-2064
NPI assigned
Feb 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2010

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

Authorized official

Name
Dr. Joel F Brodsky, DDSNPI 1639231210
Title
President/Orthodontist
Phone
(562) 496-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 24275 CA Primary

Addresses

Primary practice location

5920 Del Amo Blvd
Lakewood, CA 90713-1949

Mailing address

5920 Del Amo Blvd
Lakewood, CA 90713-1949
Phone (562) 496-2000

National Provider Directory

National Provider Directory

Locations

5920 Del Amo Blvd
Lakewood, CA 90713
Phone (562) 496-2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1265414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265414400000",
    "number": "1346572948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131949",
            "telephone_number": "562-496-2000",
            "fax_number": "562-497-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131949",
            "telephone_number": "562-496-2000",
            "fax_number": "562-497-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL F. BRODSKY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "562-496-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "24275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.