Anas Alkwadri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50718 Issued in CA

Practice address

8615 S Broadway
Kleinman & Wallace Prof Dental Corp
Los Angeles, CA 90003

Phone

(323) 752-3116

Fax

(323) 752-7203

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aalkwadri@direct.westerndental.com

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.

• Kleinman & Wallace Professional Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1386727667
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679652812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 REDONDO BEACH BLVD",
            "address_2": "28",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-406-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 S BROADWAY",
            "address_2": "KLEINMAN & WALLACE PROF DENTAL CORP",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90003",
            "telephone_number": "323-752-3116",
            "fax_number": "323-752-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKWADRI",
        "first_name": "ANAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidal Alkafarna
• Arie L Alkalay, M.D.
• Salam F Alkasspooles, MD
• Alkemy Acupuncture & Integrative Medicine, Inc. (Alkemy)
• Anna Alkozei, PH.D.
• All 4 Families, Inc
• All About Home Health, Inc.
• All About Loving Care at Home
• All About Loving Care, Inc.
• All American Community Health Center Inc.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.