NPIMap

Organization Active NPI

Koutchekpour & Spero, a Professional Corporation

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1346801792
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOUTCHEKPOUR & SPERO, A PROFESSIONAL CORPORATION
Practice address
900 Valley View Ave Unit 2
Pasadena, CA 91107-1976
Phone
(626) 510-6633
Fax
(626) 510-6120
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Vincent Spero, DDSNPI 1558537597
Title
Owner
Phone
(626) 510-6633

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

900 Valley View Ave Unit 2
Pasadena, CA 91107-1976

Mailing address

900 Valley View Ave Unit 2
Pasadena, CA 91107-1976
Phone (626) 510-6633

Other names 1

  • Pasadena Smiles Other name

National Provider Directory

National Provider Directory
Tax ID family
Koutchekpour Spero a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Valley View Ave
Unit 2
Pasadena, CA 91107
Phone (626) 510-6633

Practitioners & affiliated clinicians

Practitioners 1

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": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1346801792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VALLEY VIEW AVE UNIT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071976",
            "telephone_number": "626-510-6633",
            "fax_number": "626-510-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VALLEY VIEW AVE UNIT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071976",
            "telephone_number": "626-510-6633",
            "fax_number": "626-510-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUTCHEKPOUR & SPERO, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "SPERO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-510-6633",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.