NPIMap

Organization Active NPI

California Wave Dental Center

  • General Practice Dentistry
  • Paramount, CA
National Provider Identifier
1447779871
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43413 Issued in CA
Legal business name
CALIFORNIA WAVE DENTAL CENTER
Practice address
16444 Paramount Blvd Ste 102
Paramount, CA 90723-5453
Phone
(562) 633-6580
NPI assigned
Sep 18, 2017
Last updated
Sep 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Young Jun An, DDSNPI 1447318548
Title
Dentist
Phone
(818) 988-9959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43413 CA Primary

Addresses

Primary practice location

16444 Paramount Blvd Ste 102
Paramount, CA 90723-5453

Mailing address

16444 Paramount Blvd Ste 102
Paramount, CA 90723-5453
Phone (562) 633-6580

National Provider Directory

National Provider Directory
Tax ID family
California Wave Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

16444 Paramount Blvd
Ste 102
Paramount, CA 90723
Phone (562) 633-6580

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1447779871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 102",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-633-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 102",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-633-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA WAVE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-988-9959",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.