NPIMap

Organization Active NPI

Maxwell Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1538389069
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
35944 Issued in CA
Legal business name
MAXWELL DENTAL CORPORATION
Practice address
6828 La Tijera Blvd
Los Angeles, CA 90045-1905
Phone
(310) 216-0971
Fax
(310) 216-1530
NPI assigned
Apr 26, 2007
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Frandsen Dorsey Maxwell, D.D.S.NPI 1013240381
Title
Ceo,President,Dentist
Phone
(310) 216-0971

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
Dental Clinic/Center 261QD0000X 35944 CA Primary

Addresses

Primary practice location

6828 La Tijera Blvd
Los Angeles, CA 90045-1905

Mailing address

6828 La Tijera Blvd
Los Angeles, CA 90045-1905
Phone (310) 216-0971

Other identifiers 2

IdentifierTypeStateIssuer
662491OtherCAUNITED CONCORDIA
B03594401OtherCADENTI-CAL

National Provider Directory

National Provider Directory

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1538389069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 LA TIJERA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451905",
            "telephone_number": "310-216-0971",
            "fax_number": "310-216-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 LA TIJERA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451905",
            "telephone_number": "310-216-0971",
            "fax_number": "310-216-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "FRANDSEN",
        "authorized_official_middle_name": "DORSEY",
        "authorized_official_title_or_position": "CEO,PRESIDENT,DENTIST",
        "authorized_official_telephone_number": "310-216-0971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "35944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "662491",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B03594401",
            "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 Sep 30, 2008; 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.