NPIMap

Organization Active NPI

DRS. Emily & Dustin Dodds, a Professional Dental Corporation

  • Dental Clinic/Center
  • Long Beach, CA
National Provider Identifier
1669826897
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64207 Issued in CA
Legal business name
DRS. EMILY & DUSTIN DODDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
5580 E 2ND St
Suite 202
Long Beach, CA 90803-3946
Phone
(562) 439-0754
Fax
(562) 439-7355
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Dustin Roy Covert Dodds, D.M.D.NPI 1306132469
Title
Owner/President
Phone
(562) 439-0754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64207 CA Primary
Dental Clinic/Center 261QD0000X 64202 CA

Addresses

Primary practice location

5580 E 2ND St
Suite 202
Long Beach, CA 90803-3946

Mailing address

5580 E 2ND St
Suite 202
Long Beach, CA 90803-3946
Phone (562) 439-0754

Other names 1

  • Dodds Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5580 E 2nd St
Ste 202
Long Beach, CA 90803
Phone (562) 439-0754

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1669826897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 E 2ND ST",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033946",
            "telephone_number": "562-439-0754",
            "fax_number": "562-439-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 E 2ND ST",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033946",
            "telephone_number": "562-439-0754",
            "fax_number": "562-439-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. EMILY & DUSTIN DODDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ROY COVERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "562-439-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64207",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodds Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.