Individual provider Active NPI

Richard H Ting, D.D.S M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Monica, CA
National Provider Identifier
1538321385
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
51144 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 530
Santa Monica, CA 90404-2139
Phone
(310) 315-1034
Fax
(310) 315-0077
NPI assigned
Jul 1, 2008
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 51144 CA Primary

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 530
Santa Monica, CA 90404-2139

Mailing address

2020 Santa Monica Blvd Ste 530
Santa Monica, CA 90404-2139
Phone (310) 315-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 28, 2016 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51144CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1538321385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 530",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042139",
            "telephone_number": "310-315-1034",
            "fax_number": "310-315-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 530",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042139",
            "telephone_number": "310-315-1034",
            "fax_number": "310-315-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "51144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.