Active NPI
Gary Dean Prins, DDS
- General Practice Dentistry
- Los Alamitos, CA
National Provider Identifier
1487867701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DA25755
- Practice address
- 3551 Farquhar Ave Ste 102
Los Alamitos, CA 90720-2003 - Phone
- (562) 598-4111
- Fax
- (562) 594-6540
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DA25755 | CA | Primary |
Addresses
Primary practice location
3551 Farquhar Ave Ste 102
Los Alamitos, CA 90720-2003
Mailing address
3551 Farquhar Ave Ste 102
Los Alamitos, CA 90720-2003
Phone (562) 598-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA25755 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Alamitos Dental Care | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Los Alamitos, CA
- NPI 1245373984
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487867701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 FARQUHAR AVE STE 102",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202003",
"telephone_number": "562-598-4111",
"fax_number": "562-594-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 FARQUHAR AVE STE 102",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202003",
"telephone_number": "562-598-4111",
"fax_number": "562-594-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINS",
"first_name": "GARY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DA25755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
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- Premier Senior Health Inc
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- Elizabeth Jane Prince, PHARMD
- Jason Lynn Prince
- Priti R Sahgal MD
- Prohealth Partners a Medical Group
- Prohealth Partners a Medical Group
- Prohealth Partners a Medical Group
- Prohealth Partners a Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.