NPIMap

Organization Active NPI

Dr. Campbell's Century Dental

  • Dentist
  • Huntington Park, CA
National Provider Identifier
1740497817
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. CAMPBELL'S CENTURY DENTAL
Practice address
6318 Pacific Blvd
Huntington Park, CA 90255-4102
Phone
(323) 588-4869
Fax
(323) 588-2839
NPI assigned
May 17, 2007
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. David Stuart Campbell, D.D.S.NPI 1992703763
Title
C.E.O.
Phone
(626) 585-9544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

6318 Pacific Blvd
Huntington Park, CA 90255-4102

Mailing address

1955 Lake Ave
Altadena, CA 91001-3037
Phone (626) 585-9544

National Provider Directory

National Provider Directory
Tax ID family
Dr Campbell's Century Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6318 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 588-4869

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1740497817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013037",
            "telephone_number": "626-585-9544",
            "fax_number": "626-449-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554102",
            "telephone_number": "323-588-4869",
            "fax_number": "323-588-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMPBELL'S CENTURY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "626-585-9544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.