Brynn Matsuura, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108892 Issued in CA

Practice address

903 N Catalina Ave Ste 103
Redondo Beach, CA 90277-2292

Phone

(310) 293-2250

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1548918436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 29TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542128",
            "telephone_number": "310-293-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N CATALINA AVE STE 103",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772292",
            "telephone_number": "310-293-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "BRYNN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Critton Mastandrea, PH.D.
• Richard D. Masuoka, DMD
• Mathew Deville Chiropractic, P.C.
• Rand Taylor Light Matsumoto
• Stanford Kei Matsuno, MD
• Matthew Bolduc DDS Inc
• Christine N Matthews, D.D.S
• Nicholas J Matthews, D.D.S.
• Agata Matusz, RD
• Linda Sindoni Maul, MFT

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.