Ben Udas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104500 Issued in CA

Practice address

2102 Artesia Blvd
Torrance, CA 90504-3003

Phone

(424) 271-4714

Fax

(424) 488-7724

NPI assigned

Oct 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Udas Dental Corp

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1568234730
  NPD Authorized official
• Feizbakhsh-Jacobson Partnership

  • Dentist
  • Culver City, CA
  • NPI 1861187619
  NPD (past)
• Smile Dental

  • General Practice Dentistry
  • Culver City, CA
  • NPI 1811196249
  NPD (past)

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1376186908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17575 YUKON AVE APT F3",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043441",
            "telephone_number": "857-206-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 ARTESIA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043003",
            "telephone_number": "424-271-4714",
            "fax_number": "424-488-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDAS",
        "first_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin E. Tyler
• Raymond H Tyner Jr.
• Nathan Tyree, M.A., BCBA
• Simon Uche Jr.
• Udas Dental Corp
• Charlene Uemura, PHARM.D
• Koji Uemura, D.C., L.AC.
• Lena Uemura, LA.C
• Mason Uemura, MD
• William Ueng, MD

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.