Active NPI
Arturo Ibarra, D.D.S.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1386787976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31287
- Practice address
- 2407 N Broadway Ave.
Los Angeles, CA 90031-2218 - Phone
- (323) 221-3165
- Fax
- (323) 221-0112
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31287 | CA | Primary |
Addresses
Primary practice location
2407 N Broadway Ave.
Los Angeles, CA 90031-2218
Mailing address
2407 N Broadway
Los Angeles, CA 90031-2218
Phone (323) 221-3165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B31287-01 | Other | CA | DENTICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arturo Ibarra D.D.S. Inc | Past | Accepting new patients | |
| City Terrace Dental | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Los Angeles, CA
- NPI 1457712200
-
- Dental Clinic/Center
- Los Angeles, CA
- NPI 1801434196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386787976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312218",
"telephone_number": "323-221-3165",
"fax_number": "323-221-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 N BROADWAY AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312218",
"telephone_number": "323-221-3165",
"fax_number": "323-221-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "ARTURO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B31287-01",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.