NPIMap

Organization Active NPI

A1Caredental

  • Special Hospital
  • Carson, CA
National Provider Identifier
1376768648
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
50371 Issued in CA
Legal business name
A1CAREDENTAL
Practice address
602 W Sepulveda Blvd
Carson, CA 90745-6319
Phone
(310) 830-3338
Fax
(310) 830-3339
NPI assigned
Apr 13, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Jung Hyeb Sim, DMDNPI 1134254683
Title
Owner
Phone
(310) 830-3338

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
Special Hospital 284300000X 50371 CA Primary

Addresses

Primary practice location

602 W Sepulveda Blvd
Carson, CA 90745-6319

Mailing address

602 W Sepulveda Blvd
Carson, CA 90745-6319
Phone (310) 830-3338

National Provider Directory

National Provider Directory

Locations

602 W Sepulveda Blvd
Carson, CA 90745
Phone (310) 830-3338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1376768648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W SEPULVEDA BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456319",
            "telephone_number": "310-830-3338",
            "fax_number": "310-830-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SEPULVEDA BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456319",
            "telephone_number": "310-830-3338",
            "fax_number": "310-830-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1CAREDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "HYEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-830-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "50371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.