Downey Orthodontic Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17684 Issued in CA

Legal business name

DOWNEY ORTHODONTIC CENTER

Practice address

10501 Lakewood Blvd
Downey, CA 90241-2709

Phone

(562) 869-4318

Fax

(562) 861-8350

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. George S. Gholdoian, DDS

Title

President/Owner

Phone

(562) 869-4318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1417954801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412709",
            "telephone_number": "562-869-4318",
            "fax_number": "562-861-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412709",
            "telephone_number": "562-869-4318",
            "fax_number": "562-861-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNEY ORTHODONTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "GHOLDOIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-869-4318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downey Dermatologic Medical Group Inc
• Downey Family Cosmetic Dentistry
• Downey Home Care I, Inc.
• Downey Home Care III, Inc
• Downey Industrial Medical Group, Inc.
• Downey Outpatient Surgery Center Inc
• Downey Physical Therapy Inc
• Downey Pih
• Downey Podiatry Center, Inc.
• Downey Radiology Associates

• Orthodontics and Dentofacial Orthopedics Dentistry in Downey, CA
• Providers in Downey, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.