City Terrace Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CITY TERRACE DENTAL

Doing business as

City Terrace Dental

Practice address

3604 E 1St St
Los Angeles, CA 90063-2326

Phone

(323) 260-7173

Fax

(323) 927-2363

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aquileo Martinez, DDS

Title

Owner

Phone

(323) 260-7173

Specialties & licenses 1

Addresses

Other names 1

• City Terrace Dental Doing business as

Tax ID family

City Terrace Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City Terrace Dental

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1801434196
  NPD tax ID

Locations

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1548800576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-260-7173",
            "fax_number": "323-927-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-260-7173",
            "fax_number": "323-927-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY TERRACE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AQUILEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-260-7173",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Terrace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Angels Community Mental Health Center (Adult Day Health Centers of America)
• City of Angels Emergency Medical Group, Inc.
• City of Angels Hospice Care
• City of Angels Radiology Medical Group
• City of Los Angeles (Los Angeles Fire Department)
• City Terrace Dental
• City View la, LLC.
• City View Villa, LLC (City View Villa)
• Citylife Rehabilitation
• Cityrose Home Health Services Inc.

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.