Individual provider Active NPI

Mark Nugent, D.D.S.

  • Endodontics
  • Torrance, CA
National Provider Identifier
1700244746
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
53259 Issued in CA
Practice address
3663 Torrance Blvd Ste 3
Torrance, CA 90503-4817
Phone
(310) 791-0666
NPI assigned
Feb 5, 2016
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 53259 CA Primary

Addresses

Primary practice location

3663 Torrance Blvd Ste 3
Torrance, CA 90503-4817

Mailing address

3663 Torrance Blvd Ste 3
Torrance, CA 90503-4817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bardi-Nugent Dental Corporation Current Accepting new patients
Bardi-Nugent-Suh Dental Corporation Endodontics CurrentSince Aug 18, 2024 Accepting new patients
F.M. Bardi DDS Apc Endodontics Past Accepting new patients

Locations

4338 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 439-1006

3663 Torrance Blvd
Ste 3
Torrance, CA 90503
Phone (310) 791-0666

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1700244746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 TORRANCE BLVD STE 3",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 TORRANCE BLVD STE 3",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034817",
            "telephone_number": "310-791-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.