Jason H. Ta, DMD, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JASON H. TA, DMD, INC.

Practice address

16709 Hawthorne Blvd.
Lawndale, CA 90260

Phone

(310) 592-5558

Fax

(310) 542-4309

NPI assigned

Nov 15, 2018

Organization subpart

Yes

Parent organization

JASON H. TA, DMD, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jason H. Ta, D.M.D.

Title

President/Owner

Phone

(310) 542-5558

Specialties & licenses 1

Addresses

Part of

Jason H Ta DMD Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunghae Park, DMD

  • General Practice Dentistry
  • Lawndale, CA
  • NPI 1760470769
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1356810758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16709 HAWTHORNE BLVD.",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-592-5558",
            "fax_number": "310-542-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16709 HAWTHORNE BLVD.",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-592-5558",
            "fax_number": "310-542-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON H. TA, DMD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASON H. TA, DMD, INC.",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-542-5558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.