Dentistry on the Blvd.

Primary specialty

DentistTaxonomy code 122300000X

License

41617 Issued in CA

Legal business name

DENTISTRY ON THE BLVD.

Practice address

1101 N Sepulveda Blvd
Suite 102
Manhattan Beach, CA 90266-5948

Phone

(310) 545-0855

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Janelle Holden, DDS

Title

Owner

Phone

(310) 545-0855

Specialties & licenses 1

Addresses

Other names 1

• Holden Corporation Doing business as

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1710429451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 102",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665948",
            "telephone_number": "310-545-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 102",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665948",
            "telephone_number": "310-545-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY ON THE BLVD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-545-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holden Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Demasi Malcher, MS, RD, CDCES
• Ruth C Demonteverde, M.D.
• Denise Chyette, Physical Therapist, Inc.
• Martin Denn, PSYD
• Sinan Denny-Brown, M.D.
• Nina Desai, M.D
• Judy Jacobs Deutsch, MFT
• Sonia Dhairyawan-Carvalho, MD
• Diadra Smith Licensed Clinical Social Worker Inc
• Patrick Brian Dickey

• Dentist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.