NPIMap

Organization Active NPI

Lakewood Cerritos Dental CTRS

  • General Practice Dentistry
  • Lakewood, CA
National Provider Identifier
1407124290
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18745 Issued in CA
Legal business name
LAKEWOOD CERRITOS DENTAL CTRS
Practice address
5819 Adenmoor Ave
Lakewood, CA 90713
Phone
(562) 804-2296
Fax
(562) 804-1686
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Kosmas Pappas, DDS
Title
Owner
Phone
(562) 804-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18745 CA Primary

Addresses

Primary practice location

5819 Adenmoor Ave
Lakewood, CA 90713

Mailing address

5819 Adenmoor Ave
Lakewood, CA 90713
Phone (562) 804-2296

Other names 1

  • Abelardo Lopez DDS A Dental Corp Other name

National Provider Directory

National Provider Directory

Locations

5819 Adenmoor Ave
Lakewood, CA 90713
Phone (562) 804-2296

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1407124290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90713",
            "telephone_number": "562-804-2296",
            "fax_number": "562-804-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90713",
            "telephone_number": "562-804-2296",
            "fax_number": "562-804-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD CERRITOS DENTAL CTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "KOSMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-804-2296",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "18745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abelardo Lopez DDS A Dental Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.