Organization Active NPI

Rony Shemtov DDS Dental Corporation

  • Dentist
  • Huntington Park, CA
National Provider Identifier
1710708292
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RONY SHEMTOV DDS DENTAL CORPORATION
Doing business as
Affordable Family Dental
Practice address
7119 Seville Ave Ste a
Huntington Park, CA 90255-4997
Phone
(310) 866-0119
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Rony ShemtovNPI 1528744380
Title
Ceo
Phone
(310) 866-0119

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7119 Seville Ave Ste a
Huntington Park, CA 90255-4997

Mailing address

1467 Rexford Dr Apt 203
Los Angeles, CA 90035-3170

Other names 1

  • Affordable Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7119 Seville Ave
Ste A
Huntington Park, CA 90255
Phone (323) 589-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1710708292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 REXFORD DR APT 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 SEVILLE AVE STE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554997",
            "telephone_number": "310-866-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONY SHEMTOV DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SHEMTOV",
        "authorized_official_first_name": "RONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-866-0119"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.