Organization Active NPI

Compean D.D.S. a Professional Corp.

  • General Practice Dentistry
  • Cerritos, CA
National Provider Identifier
1568928984
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPEAN D.D.S. A PROFESSIONAL CORP.
Practice address
10945 South St Ste 200a
Cerritos, CA 90703-5366
Phone
(562) 924-1523
Fax
(562) 365-6870
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Teri Mejia
Title
Insurance Specialist
Phone
(562) 924-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

10945 South St Ste 200a
Cerritos, CA 90703-5366

Mailing address

10945 South St Ste 200a
Cerritos, CA 90703-5366
Phone (562) 924-1523

National Provider Directory

National Provider Directory

Locations

10945 South St
Ste 200A
Cerritos, CA 90703
Phone (562) 924-1523

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": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1568928984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 SOUTH ST STE 200A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035366",
            "telephone_number": "562-924-1523",
            "fax_number": "562-365-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 SOUTH ST STE 200A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035366",
            "telephone_number": "562-924-1523",
            "fax_number": "562-365-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPEAN D.D.S. A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "562-924-1523"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.