La Santos Starr Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LA SANTOS STARR DENTAL CORPORATION

Practice address

1127 Wilshire Blvd Ste 404
Los Angeles, CA 90017-3905

Phone

(323) 600-5287

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Dos Santos

Title

Manager

Phone

(619) 204-8082

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1447912761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173905",
            "telephone_number": "323-600-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SANTOS STARR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-204-8082"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cloud9",
            "affiliation": "N",
            "address_1": "1127 Wilshire Blvd Ste 404",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900173905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 13, 2021; 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.