NPIMap

Organization Active NPI

A Beautiful Smile Means a Better Life

  • General Practice Dentistry
  • Bellflower, CA
National Provider Identifier
1588828636
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20092 Issued in CA
Legal business name
A BEAUTIFUL SMILE MEANS A BETTER LIFE
Practice address
10106 Alondra BL Ste B
Bellflower, CA 90706-3904
Phone
(562) 920-8324
Fax
(562) 804-8660
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Gary R Crockett, DDS
Title
Owner
Phone
(562) 920-8324

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20092 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 50687 CA

Addresses

Primary practice location

10106 Alondra BL Ste B
Bellflower, CA 90706-3904

Mailing address

10106 Alondra BL Ste B
Bellflower, CA 90706-3904
Phone (562) 920-8324

National Provider Directory

National Provider Directory

Locations

10106 Alondra Blvd
#B
Bellflower, CA 90706
Phone (562) 920-8324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1588828636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 ALONDRA BL STE B",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063904",
            "telephone_number": "562-920-8324",
            "fax_number": "562-804-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 ALONDRA BL STE B",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063904",
            "telephone_number": "562-920-8324",
            "fax_number": "562-804-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTIFUL SMILE MEANS A BETTER LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-920-8324",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20092",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.