NPIMap

Organization Active NPI

The Children's Dental Center

  • Public Health Dentistry
  • Inglewood, CA
National Provider Identifier
1740392216
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
19972 Issued in CA
Legal business name
THE CHILDREN'S DENTAL CENTER
Practice address
300 E Buckthorn St
Inglewood, CA 90301-3418
Phone
(310) 419-3000
Fax
(310) 677-3087
NPI assigned
Aug 31, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Dennis Young
Title
Ceo/
Phone
(310) 419-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 19972 CA Primary

Addresses

Primary practice location

300 E Buckthorn St
Inglewood, CA 90301-3418

Mailing address

300 E Buckthorn St
Inglewood, CA 90301-3418
Phone (310) 419-3000

National Provider Directory

National Provider Directory

Locations

300 E Buckthorn St
Inglewood, CA 90301
Phone (310) 419-3000

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1740392216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BUCKTHORN ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013418",
            "telephone_number": "310-419-3000",
            "fax_number": "310-677-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BUCKTHORN ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013418",
            "telephone_number": "310-419-3000",
            "fax_number": "310-677-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO/",
        "authorized_official_telephone_number": "310-419-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "19972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.