E. Michael Mosig DDS and Mary Lynn Lukasik DDS, a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

E. MICHAEL MOSIG DDS AND MARY LYNN LUKASIK DDS, A DENTAL CORPORATION

Practice address

1815 Via El Prado Ste 400
Redondo Beach, CA 90277-5727

Phone

(310) 792-4325

Fax

(310) 792-4328

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Erich Michael Mosig, DDSNPI 1205969383

Title

President

Phone

(310) 792-4325

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Erich Michael Mosig, D.D.S.

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1205969383
  NPD Authorized official
• Mary Lynn Lukasik, D.D.S.

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1053444141
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1477262004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 400",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775727",
            "telephone_number": "310-792-4325",
            "fax_number": "310-792-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 400",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775727",
            "telephone_number": "310-792-4325",
            "fax_number": "310-792-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. MICHAEL MOSIG DDS AND MARY LYNN LUKASIK DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MOSIG",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott L Duong, D.C.
• Emely Duran Rodriguez
• Haylee Rachel Duran, LMFT
• Dwayne Cox M D Inc
• Danielle Dyson
• East Wellness Inc
• Lysa Eastman, PHD
• Elizabeth Emily Eccleston, MSW, ASW
• Colleen Ecker, CADAC-II, CCDP
• Charles Peter Eckstein, M.A.,M.F.T.

• Dentist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.