Joseph R. Micheri DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36583 Issued in CA

Legal business name

JOSEPH R. MICHERI DDS INC

Practice address

2815 W. Sunset Blvd.
Suite 106
Los Angeles, CA 90026-2168

Phone

(213) 380-2008

Fax

(213) 484-0758

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Joseph R. Micheri, DDS

Title

Dentist/Owner

Phone

(213) 380-2008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1750690954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W. SUNSET BLVD.",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262168",
            "telephone_number": "213-380-2008",
            "fax_number": "213-484-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W. SUNSET BLVD.",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262168",
            "telephone_number": "213-380-2008",
            "fax_number": "213-484-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. MICHERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "MICHERI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "213-380-2008",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 5, 2010; 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.