Individual provider Active NPI

Nelson Reed Gatov, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Long Beach, CA
National Provider Identifier
1720177546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24925 Issued in CA
Practice address
6330 E Spring St
Long Beach, CA 90815-1424
Phone
(562) 421-9439
Fax
(562) 421-9430
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 24925 CA Primary

Addresses

Primary practice location

6330 E Spring St
Long Beach, CA 90815-1424

Mailing address

6330 E Spring St
Long Beach, CA 90815-1424
Phone (562) 421-9439

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

State licenses

LicenseStateTypeSpecialty
24925CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Nov 13, 2022 Accepting new patients
Howard Lee DMD Inc 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-9439",
            "fax_number": "562-421-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-9439",
            "fax_number": "562-421-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATOV",
        "first_name": "NELSON",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "24925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.