NPIMap

Organization Active NPI

Friendly Dental Center

  • General Practice Dentistry
  • Baldwin Park, CA
National Provider Identifier
1659586949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34845 Issued in CA
Legal business name
FRIENDLY DENTAL CENTER
Practice address
14607 Ramona Blvd
Ste B
Baldwin Park, CA 91706-3465
Phone
(626) 960-5108
NPI assigned
May 11, 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
Mrs. Adriana Morgan
Title
Administrator
Phone
(951) 279-1172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 34845 CA Primary

Addresses

Primary practice location

14607 Ramona Blvd
Ste B
Baldwin Park, CA 91706-3465

Mailing address

14607 Ramona Blvd
Ste B
Baldwin Park, CA 91706-3465
Phone (626) 960-5108

Other names 1

  • family dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Gill'S Dental Office Dental Practice of Harpreet Singh Gill3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

14607 Ramona Blvd
Ste B
Baldwin Park, CA 91706
Phone (626) 960-5108

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659586949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 RAMONA BLVD",
            "address_2": "STE B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063465",
            "telephone_number": "626-960-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14607 RAMONA BLVD",
            "address_2": "STE B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063465",
            "telephone_number": "626-960-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-279-1172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baldwin Park, 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.