Organization Active NPI

Assal Abdossalehi DDS Inc

  • Pediatric Dentistry
  • Lakewood, CA
National Provider Identifier
1689450140
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ASSAL ABDOSSALEHI DDS INC
Practice address
4700 D St Ste D
Lakewood, CA 90712-2500
Phone
(617) 477-7729
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Assal Abdossalehi, DMDNPI 1447614599
Title
Owner Dentist
Phone
(617) 477-7729

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4700 D St Ste D
Lakewood, CA 90712-2500

Mailing address

4700 D St Ste D
Lakewood, CA 90712-2500
Phone (617) 477-7729

National Provider Directory

National Provider Directory

Locations

4700 D St
Ste D
Lakewood, CA 90712
Phone (617) 477-7729

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1689450140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 D ST STE D",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122500",
            "telephone_number": "617-477-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 D ST STE D",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122500",
            "telephone_number": "617-477-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSAL ABDOSSALEHI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ABDOSSALEHI",
        "authorized_official_first_name": "ASSAL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-477-7729",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.