NPIMap

Organization Active NPI

Nicholas Scott St. George D.D.S., Inc.

  • Dentist
  • Downey, CA
National Provider Identifier
1376786145
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57614 Issued in CA
Legal business name
NICHOLAS SCOTT ST. GEORGE D.D.S., INC.
Practice address
10249 Paramount Blvd
Downey, CA 90241-2362
Phone
(562) 927-2602
Fax
(562) 928-9232
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Dr. Nicholas Scott St George, D.D.S.
Title
President
Phone
(562) 927-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57614 CA Primary

Addresses

Primary practice location

10249 Paramount Blvd
Downey, CA 90241-2362

Mailing address

10249 Paramount Blvd
Downey, CA 90241-2362
Phone (562) 927-2602

National Provider Directory

National Provider Directory
Tax ID family
Nicholas Scott St George DDS Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1376786145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10249 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412362",
            "telephone_number": "562-927-2602",
            "fax_number": "562-928-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412362",
            "telephone_number": "562-927-2602",
            "fax_number": "562-928-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS SCOTT ST. GEORGE D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "ST GEORGE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-927-2602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.