NPIMap

Organization Active NPI

Dentalville

  • Dental Clinic/Center
  • Bell, CA
National Provider Identifier
1700083078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
B26405-04 Issued in CA
Legal business name
DENTALVILLE
Practice address
5021 Florence Avenue
Bell, CA 90201
Phone
(323) 560-1508
Fax
(323) 560-2085
NPI assigned
Jun 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Evelyn McKay
Title
Office Manager
Phone
(323) 560-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X B26405-04 CA Primary

Addresses

Primary practice location

5021 Florence Avenue
Bell, CA 90201

Mailing address

5021 Florence Avenue
Bell, CA 90201
Phone (323) 560-1508

Other identifiers 1

IdentifierTypeStateIssuer
B26405-04OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Dentalville4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700083078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 FLORENCE AVENUE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-560-1508",
            "fax_number": "323-560-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 FLORENCE AVENUE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-560-1508",
            "fax_number": "323-560-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-560-1508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B26405-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B26405-04",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.