Organization Active NPI

Dr. Bryan's Dental Office

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1720298052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32333 Issued in CA
Legal business name
DR. BRYAN'S DENTAL OFFICE
Practice address
3030 W 8TH St Ste 305
Los Angeles, CA 90005-1870
Phone
(213) 389-0937
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Jo
Title
Office Manager
Phone
(213) 389-0937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 32333 CA Primary

Addresses

Primary practice location

3030 W 8TH St Ste 305
Los Angeles, CA 90005-1870

Mailing address

3030 W 8TH St Ste 305
Los Angeles, CA 90005-1870
Phone (213) 389-0937

National Provider Directory

National Provider Directory

Locations

3030 W 8th St
Ste 305
Los Angeles, CA 90005
Phone (213) 384-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720298052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W 8TH ST STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051870",
            "telephone_number": "213-389-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W 8TH ST STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051870",
            "telephone_number": "213-389-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRYAN'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-389-0937"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.