NPIMap

Organization Active NPI

George Xenakis, DDS, PC

  • Dental Clinic/Center
  • Artesia, CA
National Provider Identifier
1649655796
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64232 Issued in CA
Legal business name
GEORGE XENAKIS, DDS, PC
Practice address
18102 Pioneer Blvd # 104-105
Artesia, CA 90701-3953
Phone
(562) 895-9100
Fax
(562) 865-9140
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. George Xenakis, D.D.S
Title
Owner
Phone
(917) 374-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64232 CA Primary

Addresses

Primary practice location

18102 Pioneer Blvd # 104-105
Artesia, CA 90701-3953

Mailing address

18102 Pioneer Blvd # 104-105
Artesia, CA 90701-3953
Phone (562) 895-9100

Other names 1

  • U Dream Dental - Artesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George Xenakis DDS PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18102 Pioneer Blvd
#104105
Artesia, CA 90701
Phone (562) 895-9100

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1649655796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD # 104-105",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-895-9100",
            "fax_number": "562-865-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD # 104-105",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-895-9100",
            "fax_number": "562-865-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE XENAKIS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "XENAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-374-5082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U Dream Dental - Artesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.