NPIMap

Organization Active NPI

Sorour DMD PC

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1659681773
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54393 Issued in CA
Legal business name
SOROUR DMD PC
Practice address
14979 Praire Ave
Lawndale, CA 90260
Phone
(310) 973-9004
Fax
(310) 973-9005
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Tharwat Sorour, DMD
Title
President
Phone
(310) 973-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54393 CA Primary

Addresses

Primary practice location

14979 Praire Ave
Lawndale, CA 90260

Mailing address

14979 Praire Ave
Lawndale, CA 90260
Phone (310) 973-9004

National Provider Directory

National Provider Directory
Tax ID family
Sorour DMD PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

14979 Prairie Ave
Lawndale, CA 90260
Phone (310) 973-9004

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1659681773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14979 PRAIRE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-973-9004",
            "fax_number": "310-973-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14979 PRAIRE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-973-9004",
            "fax_number": "310-973-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-973-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.