John Bilder Fund Billingsworth Lab

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

004885460 Issued in SC

Legal business name

JOHN BILDER FUND BILLINGSWORTH LAB

Practice address

7202 Greenleaf Ave
13303 Philadelphia St
Whittier, CA 90602-1312

Phone

(562) 536-6391

NPI assigned

Aug 8, 2014

Organization subpart

Yes

Parent organization

DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Karen Sue S Crouse, DDS

Title

Dna Lab Burn Unit Cremation

Phone

(562) 536-6391

Specialties & licenses 1

Addresses

Other names 1

• john bilder Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1639588205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GREENLEAF AVE",
            "address_2": "13303 PHILADELPHIA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021312",
            "telephone_number": "562-536-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 GREENLEAF AVE",
            "address_2": "13303 PHILADELPHIA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021312",
            "telephone_number": "562-536-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BILDER FUND BILLINGSWORTH LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "KAREN SUE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DNA LAB BURN UNIT CREMATION",
        "authorized_official_telephone_number": "562-536-6391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "SC",
            "license": "004885460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "john bilder",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Laboratory in Whittier, CA
• Providers in Whittier, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.