Organization Active NPI

Philline Parreno DDS Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1467817015
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61979 Issued in CA
Legal business name
PHILLINE PARRENO DDS DENTAL CORP
Practice address
2750 W Broadway
Ste B
Los Angeles, CA 90041-1050
Phone
(323) 739-0215
Fax
(323) 739-0217
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Philline ParrenoNPI 1083950190
Title
Owner
Phone
(323) 739-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61979 CA Primary

Addresses

Primary practice location

2750 W Broadway
Ste B
Los Angeles, CA 90041-1050

Mailing address

2750 W Broadway
Ste B
Los Angeles, CA 90041-1050
Phone (323) 739-0215

Other names 1

  • Perfectly Bright Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2750 W Broadway
Ste B
Los Angeles, CA 90041
Phone (323) 739-0215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1467817015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W BROADWAY",
            "address_2": "STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411050",
            "telephone_number": "323-739-0215",
            "fax_number": "323-739-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W BROADWAY",
            "address_2": "STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411050",
            "telephone_number": "323-739-0215",
            "fax_number": "323-739-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLINE PARRENO DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "PARRENO",
        "authorized_official_first_name": "PHILLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-739-0215"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfectly Bright Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2015; 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.