Active NPI
Ramstrum Dental Practice
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1386791895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23134
- Legal business name
- RAMSTRUM DENTAL PRACTICE
- Practice address
- 643 W Manchester Ave
Los Angeles, CA 90044-5718 - Phone
- (323) 753-1411
- Fax
- (323) 753-3109
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dagmar Johanna Ramstrum, DDS
- Title
- Owner
- Phone
- (323) 753-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23134 | CA | Primary |
Addresses
Primary practice location
643 W Manchester Ave
Los Angeles, CA 90044-5718
Mailing address
643 W Manchester Ave
Los Angeles, CA 90044-5718
Phone (323) 753-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23134 | Other | CA | DENTI-CAL ID |
National Provider Directory
National Provider Directory- Tax ID family
- Ramstrum Dental Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1205808243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386791895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900445718",
"telephone_number": "323-753-1411",
"fax_number": "323-753-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900445718",
"telephone_number": "323-753-1411",
"fax_number": "323-753-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAMSTRUM DENTAL PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAMSTRUM",
"authorized_official_first_name": "DAGMAR",
"authorized_official_middle_name": "JOHANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-753-1411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL ID",
"identifier": "23134",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.