NPIMap

Organization Active NPI

Bandary & Barooty DDS, a Professional Dental Corporation

Doing business as Crown Dental & Orthodontics

  • General Practice Dentistry
  • Inglewood, CA
National Provider Identifier
1679268379
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BANDARY & BAROOTY DDS, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Crown Dental & Orthodontics
Practice address
1295 S la Brea Ave Ste 101
Inglewood, CA 90301-0972
Phone
(310) 672-0129
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Daniel Bandary, DDSNPI 1184251423
Title
Dentist, Co-Owner
Phone
(818) 430-0119

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 1

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

Addresses

Primary practice location

1295 S la Brea Ave Ste 101
Inglewood, CA 90301-0972

Mailing address

1295 S la Brea Ave Ste 101
Inglewood, CA 90301-0972
Phone (310) 672-0129

Other names 1

  • Crown Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bandary Barooty DDS a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1679268379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S LA BREA AVE STE 101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903010972",
            "telephone_number": "310-672-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S LA BREA AVE STE 101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903010972",
            "telephone_number": "310-672-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDARY & BAROOTY DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "BANDARY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST, CO-OWNER",
        "authorized_official_telephone_number": "818-430-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.