Arcadia Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29322 Issued in CA

Legal business name

ARCADIA DENTAL GROUP

Practice address

111 E Live Oak Ave
Arcadia, CA 91006-5240

Phone

(626) 445-1181

NPI assigned

May 25, 2007

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lawrence Kelly, DDS

Title

Owner

Phone

(626) 445-1181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1730390287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065240",
            "telephone_number": "626-445-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065240",
            "telephone_number": "626-445-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-445-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Arango
• Donna N Arase, D.D.S.
• Arcadia Birth Center, Inc.
• Arcadia Care Center LLC
• Arcadia Convalescent Hospital, Inc (Arcadia Health Care Center)
• Arcadia Ear Nose and Throat Specialists (Arcadia ENT)
• Arcadia Family and Cosmetic Dentistry
• Arcadia Foot Clinic Inc
• Arcadia Foothill Surgery Center, LLC
• Arcadia Health Chiropractic - Dr. Cassandra Sepulveda, Inc

• General Practice Dentistry in Arcadia, CA
• Providers in Arcadia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.