Organization Active NPI

Floyd Cawthon Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1497977904
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DG32043 Issued in CA
Legal business name
FLOYD CAWTHON DENTAL CORPORATION
Practice address
8635 W. 3Rd Street
Suite 255-W
Los Angeles, CA 90048-6113
Phone
(310) 659-5430
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Floyd Jesse Cawthon III, D.D.S.
Title
President
Phone
(310) 659-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DG32043 CA Primary

Addresses

Primary practice location

8635 W. 3Rd Street
Suite 255-W
Los Angeles, CA 90048-6113

Mailing address

4924 Balboa Blvd
#223
Encino, CA 91316-3402
Phone (310) 659-5430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1497977904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 BALBOA BLVD",
            "address_2": "#223",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163402",
            "telephone_number": "310-659-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W. 3RD STREET",
            "address_2": "SUITE 255-W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486113",
            "telephone_number": "310-659-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD CAWTHON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "CAWTHON",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DG32043",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 16, 2009; 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.