John Song, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

48770 Issued in CA

Practice address

2730 Wilshire Blvd
Suite 460
Santa Monica, CA 90403-4831

Phone

(323) 206-6535

Fax

(310) 998-1907

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1730207382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 460",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034831",
            "telephone_number": "323-206-6535",
            "fax_number": "310-998-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 460",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034831",
            "telephone_number": "323-206-6535",
            "fax_number": "310-998-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "48770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Solouki, MA
• Scott Soluk, D.C.
• Ross J Somers, O. D.
• Susan Sommer, FNP-BC
• Alexander Cera Sones, MD
• Michelle Ming Song, M.D.
• Sonus-USA, Inc.
• Roddy S. Sooferian, M.D.
• Maurella Sooh
• Angela Soong, COTA/L

• Prosthodontics in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.