Organization Active NPI

Adonis Regala DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1477798247
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43555 Issued in CA
Legal business name
ADONIS REGALA DDS INC
Practice address
1269 S Union Ave
Los Angeles, CA 90015-2043
Phone
(213) 251-1400
Fax
(213) 251-2800
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Adonis Manalo Regala, D.D.S.
Title
Dentist/Owner
Phone
(213) 251-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43555 CA Primary

Addresses

Primary practice location

1269 S Union Ave
Los Angeles, CA 90015-2043

Mailing address

1269 S Union Ave
Los Angeles, CA 90015-2043
Phone (213) 251-1400

Other identifiers 2

IdentifierTypeStateIssuer
G93523-01OtherCADENTI-CAL
D43555OtherCADENTI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Adonis Regala DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1269 S Union Ave
Los Angeles, CA 90015
Phone (213) 251-1400

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1477798247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-251-1400",
            "fax_number": "213-251-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-251-1400",
            "fax_number": "213-251-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONIS REGALA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "REGALA",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "MANALO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "213-251-1400",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93523-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D43555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 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.