Organization Active NPI

Ganji Dental Corporation

Doing business as Washington Dental Services

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1598055527
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58334 Issued in CA
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

Updated by the provider on Aug 24, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 58334 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.