Active NPI
Ganji Dental Corporation
Doing business as Washington Dental Services
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1598055527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58334
- Legal business name
- GANJI DENTAL CORPORATION
- Doing business as
- Washington Dental Services
- Practice address
- 1005 E Washington Blvd Ste B
Los Angeles, CA 90021-3020 - Phone
- (213) 765-0004
- NPI assigned
- Apr 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ganji, DMD
- Title
- Part Owner
- Phone
- (213) 765-0004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58334 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 58353 | CA |
Addresses
Primary practice location
1005 E Washington Blvd Ste B
Los Angeles, CA 90021-3020
Mailing address
1005 E Washington Blvd Ste B
Los Angeles, CA 90021-3020
Phone (213) 765-0004
Other names 1
- Washington Dental Services
National Provider Directory
National Provider DirectoryLocations
1005 E Washington Blvd
Ste B
Los Angeles, CA 90021
Phone (213) 749-0041
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.
-
- Dentist
- Burbank, CA
- NPI 1770052854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345766400000",
"number": "1598055527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 E WASHINGTON BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900213020",
"telephone_number": "213-765-0004",
"fax_number": "213-765-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E WASHINGTON BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900213020",
"telephone_number": "213-765-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GANJI DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-11",
"last_updated": "2012-08-24",
"status": "A",
"authorized_official_last_name": "GANJI",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "213-765-0004",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58334",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Dental Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.