Amerident Health Pro, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

40241 Issued in CA

Legal business name

AMERIDENT HEALTH PRO, INC.

Practice address

3130 S Sepulveda Blvd
Suite D
Los Angeles, CA 90034-4215

Phone

(310) 268-0646

Fax

(310) 268-0536

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERIDENT HEALTH PRO, INC.As reported in NPPES

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

Authorized official

Name

Dr. William Ginzburg, DDS

Title

Practice Owner

Phone

(310) 268-0646

Specialties & licenses 1

Addresses

Part of

Amerident Health Pro Inc

Locations

Practitioners 1

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.

• Josefina Perez-Inigo Morales

  • Dentist
  • Los Angeles, CA
  • NPI 1922996453
  NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1467818401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 S SEPULVEDA BLVD",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344215",
            "telephone_number": "310-268-0646",
            "fax_number": "310-268-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S SEPULVEDA BLVD",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344215",
            "telephone_number": "310-268-0646",
            "fax_number": "310-268-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIDENT HEALTH PRO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIDENT HEALTH PRO, INC.",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "310-268-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americana Apothecary Inc (Century Medical Pharmacy)
• Americare Assisted Living
• Americare Home Health Agency
• Americo Simonini M D
• Americo Simonini, M.D.,Prof Corp
• Kiyomi Ameriks, DO
• Dalia Ameripour, PHARMD
• Shahram Ameripour
• Donna Ames (Formerly Wirshing), M.D.
• Mary Jeanette Ames Brown, DC

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.