Organization Active NPI

Edith Cuevas-Mendoza, DMD, Inc

  • Dental Clinic/Center
  • Culver City, CA
National Provider Identifier
1689308074
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EDITH CUEVAS-MENDOZA, DMD, INC
Practice address
5721 W Slauson Ave Ste 160
Culver City, CA 90230-4881
Phone
(310) 838-3337
Fax
(310) 838-3378
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Dr. Edith Cuevas-Mendoza, DMDNPI 1376626234
Title
Owner
Phone
(310) 838-3337

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5721 W Slauson Ave Ste 160
Culver City, CA 90230-4881

Mailing address

5721 W Slauson Ave Ste 160
Culver City, CA 90230-4881
Phone (310) 838-3337

National Provider Directory

National Provider Directory

Locations

5721 W Slauson Ave
Ste 160
Culver City, CA 90230
Phone (310) 838-3337

Practitioners & affiliated clinicians

Practitioners 1

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1689308074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 W SLAUSON AVE STE 160",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304881",
            "telephone_number": "310-838-3337",
            "fax_number": "310-838-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W SLAUSON AVE STE 160",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304881",
            "telephone_number": "310-838-3337",
            "fax_number": "310-838-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH CUEVAS-MENDOZA, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "CUEVAS-MENDOZA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-838-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.