NPIMap

Organization Active NPI

Essex Dental, Practice of Suleimanagich Dental Corperation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1477946846
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40023 Issued in CA
Legal business name
ESSEX DENTAL, PRACTICE OF SULEIMANAGICH DENTAL CORPERATION
Practice address
9911 W Pico Blvd
#950
Los Angeles, CA 90035-2703
Phone
(310) 553-8188
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Omer Ale Suleimanagich, D.D.S.NPI 1134267750
Title
President
Phone
(310) 553-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 40023 CA Primary

Addresses

Primary practice location

9911 W Pico Blvd
#950
Los Angeles, CA 90035-2703

Mailing address

9911 W Pico Blvd
#950
Los Angeles, CA 90035-2703
Phone (310) 553-8188

Other names 1

  • n/a Other name

National Provider Directory

National Provider Directory

Locations

9911 W Pico Blvd
#950
Los Angeles, CA 90035
Phone (310) 553-8188

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": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1477946846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD",
            "address_2": "#950",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352703",
            "telephone_number": "310-553-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD",
            "address_2": "#950",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352703",
            "telephone_number": "310-553-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX DENTAL, PRACTICE OF SULEIMANAGICH DENTAL CORPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "SULEIMANAGICH",
        "authorized_official_first_name": "OMER",
        "authorized_official_middle_name": "ALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 10, 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.