NPIMap

Organization Active NPI

Top West Tower Implant Center Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1356808711
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TOP WEST TOWER IMPLANT CENTER INC
Practice address
2707 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2859
Phone
(213) 382-4336
Fax
(213) 382-4993
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Andre M Lee, DDS
Title
Owner
Phone
(213) 382-4336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

2707 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2859

Mailing address

2707 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2859
Phone (213) 382-4336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1356808711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W OLYMPIC BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062859",
            "telephone_number": "213-382-4336",
            "fax_number": "213-382-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W OLYMPIC BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062859",
            "telephone_number": "213-382-4336",
            "fax_number": "213-382-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP WEST TOWER IMPLANT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-382-4336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 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.