Organization Active NPI

Beautiful Smiles

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1619004090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42768 Issued in CA
Legal business name
BEAUTIFUL SMILES
Practice address
1729 Termino Ave
Long Beach, CA 90804-2121
Phone
(562) 494-8400
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Yolanda Yolanda
Title
Front Office Staff
Phone
(562) 434-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42768 CA Primary

Addresses

Primary practice location

1729 Termino Ave
Long Beach, CA 90804-2121

Mailing address

1729 Termino Ave
Long Beach, CA 90804-2121
Phone (562) 494-8400

National Provider Directory

National Provider Directory

Locations

1729 Termino Ave
Long Beach, CA 90804
Phone (562) 494-8400

Practitioners & affiliated clinicians

Practitioners 3

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619004090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042121",
            "telephone_number": "562-494-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042121",
            "telephone_number": "562-494-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOLANDA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "FRONT OFFICE STAFF",
        "authorized_official_telephone_number": "562-434-8400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.