Individual provider Active NPI

John Phillip Ducar, D.D.S.

  • Periodontics
  • Torrance, CA
National Provider Identifier
1720083397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
35488 Issued in CA
Practice address
4201 Torrance Blvd
Ste 450
Torrance, CA 90503-4592
Phone
(310) 540-1415
Fax
(310) 540-1423
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 35488 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd
Ste 450
Torrance, CA 90503-4592

Mailing address

4201 Torrance Blvd
Ste 450
Torrance, CA 90503-4592
Phone (310) 540-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000541 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264683945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35488CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Ducar, D.D.S., Inc Periodontics Past Accepting new patients
John P. Ducar, D.D.S., Inc. Periodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720083397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "STE 450",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034592",
            "telephone_number": "310-540-1415",
            "fax_number": "310-540-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "STE 450",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034592",
            "telephone_number": "310-540-1415",
            "fax_number": "310-540-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCAR",
        "first_name": "JOHN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "35488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.