Organization Active NPI

A. H. Sheily, D.D.S., a Dental Corporation

Doing business as Culver Marina Dental Group

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1710357157
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36833 Issued in CA
Legal business name
A. H. SHEILY, D.D.S., A DENTAL CORPORATION
Doing business as
Culver Marina Dental Group
Practice address
12756 W Washington Blvd
Los Angeles, CA 90066-2309
Phone
(310) 822-6066
Fax
(310) 574-8899
NPI assigned
Sep 28, 2015
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Aaron H Sheily, D.D.S.
Title
President
Phone
(310) 822-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36833 CA Primary

Addresses

Primary practice location

12756 W Washington Blvd
Los Angeles, CA 90066-2309

Mailing address

12756 W Washington Blvd
Los Angeles, CA 90066-2309
Phone (310) 822-6066

Other names 1

  • Culver Marina Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A H Sheily DDS a Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1710357157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12756 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662309",
            "telephone_number": "310-822-6066",
            "fax_number": "310-574-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12756 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662309",
            "telephone_number": "310-822-6066",
            "fax_number": "310-574-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. H. SHEILY, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "SHEILY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-822-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culver Marina Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.