Organization Active NPI

Pap Dental Group, LLC

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1467789719
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55323 Issued in CA
Legal business name
PAP DENTAL GROUP, LLC
Practice address
435 S Detroit St Apt 202
Los Angeles, CA 90036-6402
Phone
(310) 927-5848
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Amir Korouri
Title
Secretary of Corporation
Phone
(310) 927-5848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 55323 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 56649 CA

Addresses

Primary practice location

435 S Detroit St Apt 202
Los Angeles, CA 90036-6402

Mailing address

435 S Detroit St Apt 202
Los Angeles, CA 90036-6402
Phone (310) 927-5848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1467789719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S DETROIT ST APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366402",
            "telephone_number": "310-927-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S DETROIT ST APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366402",
            "telephone_number": "310-927-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAP DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "KOROURI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "SECRETARY OF CORPORATION",
        "authorized_official_telephone_number": "310-927-5848",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55323",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.