Active NPI
Tasker and Rowan Dental Corporation of Beverly Hills
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1619545159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- TASKER AND ROWAN DENTAL CORPORATION OF BEVERLY HILLS
- Practice address
- 8635 W 3Rd St Ste 255
Los Angeles, CA 90048-6113 - Phone
- (916) 479-3432
- NPI assigned
- Jun 11, 2021
- 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
- Jeannine Saso
- Title
- Director of Operations
- Phone
- (916) 479-3432
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
8635 W 3Rd St Ste 255
Los Angeles, CA 90048-6113
Mailing address
8635 W 3Rd St Ste 255
Los Angeles, CA 90048-6113
Other names 1
- Pediatric Dental Center
National Provider Directory
National Provider DirectoryLocations
8635 W 3rd St
Ste 255
Los Angeles, CA 90048
Phone (310) 659-8863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1619545159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 255",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 255",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486113",
"telephone_number": "916-479-3432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TASKER AND ROWAN DENTAL CORPORATION OF BEVERLY HILLS",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "SASO",
"authorized_official_first_name": "JEANNINE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "916-479-3432"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Dental Center",
"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 Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.