Cherry Dental

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CHERRY DENTAL

Practice address

30057 Via Victoria
Rancho Palos Verdes, CA 90275-4435

Phone

(310) 780-0106

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By 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

Dr. Amanda Hanna, DDSNPI 1982096244

Title

Associate Dentist

Phone

(310) 780-0106

Specialties & licenses 2

Addresses

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.

• Amanda Hanna, D.D.S.

  • Dentist
  • Long Beach, CA
  • NPI 1982096244
  NPD (past) Authorized official

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1467842823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051715",
            "telephone_number": "562-630-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30057 VIA VICTORIA",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754435",
            "telephone_number": "310-780-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "310-780-0106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canaan Inc
• Janet Lois Carnay, MFT.,ATR-BC
• Cyrene Mari Caronan, COTA/L
• Kelly Chang, PHARMD
• Yen Ping Chen, DDS
• David CHI, D. C.
• Justine Chiang
• Kaveri Chikamagalur, PHARM.D.
• Karen Ching
• Mark Stewart Chinowsky

• Health Maintenance Organization in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.