Active NPI
Dental Care of Montebello
- General Practice Dentistry
- Montebello, CA
National Provider Identifier
1659524726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49549
- Legal business name
- DENTAL CARE OF MONTEBELLO
- Practice address
- 1332 W Whittier Blvd
Montebello, CA 90640-4601 - Phone
- (818) 541-1688
- NPI assigned
- Nov 3, 2008
- 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
- Ali Jadid
- Title
- President
- Phone
- (714) 767-5457
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49549 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 51111 | CA |
Addresses
Primary practice location
1332 W Whittier Blvd
Montebello, CA 90640-4601
Mailing address
3903 Abella St
La Crescenta, CA 91214-2320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Montebello, CA
- NPI 1235363722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1659524726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 ABELLA ST",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912142320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404601",
"telephone_number": "818-541-1688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL CARE OF MONTEBELLO",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "JADID",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-767-5457"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49549",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.