Harbor Dental Associates

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

49973 Issued in CA

Legal business name

HARBOR DENTAL ASSOCIATES

Practice address

25617 Dodge Ave
Harbor City, CA 90710-3101

Phone

(310) 835-3144

Fax

(310) 830-4966

NPI assigned

Jun 19, 2013

Organization subpart

Yes

Parent organization

VAISHALI PATEL DDS, INCAs reported in NPPES

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

Authorized official

Name

Chris Patel

Title

Manager

Phone

(310) 971-8178

Specialties & licenses 1

Addresses

Other names 1

• Harbor Dental Associates Former legal business name

Tax ID family

Vaishali Patel DDS Inc2 organizations share this tax ID, including this one

Part of

Vaishali Patel DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vaishali Patel DDS, Inc

  • General Practice Dentistry
  • Wilmington, CA
  • NPI 1760667364
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vaishali Patel DDS, Inc

  • General Practice Dentistry
  • Wilmington, CA
  • NPI 1760667364
  NPPES parent name

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1396184727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25617 DODGE AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103101",
            "telephone_number": "310-835-3144",
            "fax_number": "310-830-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25617 DODGE AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103101",
            "telephone_number": "310-835-3144",
            "fax_number": "310-830-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAISHALI PATEL DDS, INC",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-971-8178"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "49973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Dental Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sung Wan Ham, M.D.
• Ricardo Hamilton, M.D
• Jenise Han, NPC
• David J. Hannauer, MD
• Shirley Machiko Hara, PHARM D.
• Harbor View Medical Services Inc.
• Gregory Scot Harmon, M.D.
• Perla Hartman, DO
• Roger J. Hartman, MD
• Carolyn Hatfield, MS, OTR/L

• Health Maintenance Organization in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.