Organization Active NPI

Elite Mekel, DMD Inc.

  • Pediatric Dentistry
  • Redondo Beach, CA
National Provider Identifier
1477332039
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ELITE MEKEL, DMD INC.
Practice address
234 S Pacific Coast Hwy # 206207
Redondo Beach, CA 90277-3383
Phone
(818) 590-2450
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Elite Mekel, DMDNPI 1578922118
Title
President
Phone
(818) 590-2450

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

234 S Pacific Coast Hwy # 206207
Redondo Beach, CA 90277-3383

Mailing address

152 Palm Dr
Hermosa Beach, CA 90254-5114
Phone (818) 590-2450

National Provider Directory

National Provider Directory

Locations

234 S Pacific Coast Hwy
#206207
Redondo Beach, CA 90277
Phone (818) 590-2450

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1477332039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PALM DR",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902545114",
            "telephone_number": "818-590-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S PACIFIC COAST HWY # 206207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773383",
            "telephone_number": "818-590-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEKEL, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "MEKEL",
        "authorized_official_first_name": "ELITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-590-2450",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.