Active NPI
Harrison Detroy, DDS
- General Practice Dentistry
- Alhambra, CA
National Provider Identifier
1669392486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113018
- Practice address
- 100 E Main St Ste 130
Alhambra, CA 91801-3580 - Phone
- (626) 586-3251
- NPI assigned
- Jul 20, 2026
- Last updated
- Jul 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113018 | CA | Primary |
Addresses
Primary practice location
100 E Main St Ste 130
Alhambra, CA 91801-3580
Mailing address
2903 Bellevue Ave
Los Angeles, CA 90026-3754
Phone (847) 571-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galstyan Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alhambra Modern Dentistry Dental Group
- Dentist
- Alhambra, CA
- NPI 1174305791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1669392486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 BELLEVUE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263754",
"telephone_number": "847-571-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST STE 130",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013580",
"telephone_number": "626-586-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETROY",
"first_name": "HARRISON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.