Active NPI
Gregory Stan Boots
- Dentist
- Lomita, CA
National Provider Identifier
1598935181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49731
- Practice address
- 24423 Narbonne Ave
Lomita, CA 90717-1134 - Phone
- (310) 326-7231
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49731 | CA | Primary |
Addresses
Primary practice location
24423 Narbonne Ave
Lomita, CA 90717-1134
Mailing address
7140 De Longpre Ave Apt 7
Los Angeles, CA 90046-4451
Phone (323) 850-7255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49731 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1598935181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 DE LONGPRE AVE APT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464451",
"telephone_number": "323-850-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24423 NARBONNE AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907171134",
"telephone_number": "310-326-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTS",
"first_name": "GREGORY",
"middle_name": "STAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.