Sean Prusky DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SEAN PRUSKY DDS INC

Practice address

500 S Sepulveda Blvd
Manhattan Beach, CA 90266-6948

Phone

(310) 683-5576

NPI assigned

Jul 21, 2019

Organization subpart

No

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

Authorized official

Name

Sean Prusky

Title

Orthodontist

Phone

(424) 254-9245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563667200000",
    "number": "1447803259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD STE 301",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666948",
            "telephone_number": "310-683-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN PRUSKY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A",
        "authorized_official_last_name": "PRUSKY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "424-254-9245"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene M. Martha Schultz, D.D.S.
• Lois Schunk, MFT
• Richard Martin Schwarz, D.C.
• Scott C Rackett M D Inc
• Sea Breeze Dental Group
• Theodore Seeds
• Theresa Serrano, PT, DPT
• Castoria Seymore Jr., MD
• Daniel B Shabani, PH.D., BCBA-D
• Parisa Shabanzadeh, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Jul 21, 2019; 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.