NPIMap

Organization Active NPI

Farwest Dental Group

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1750700134
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50718 Issued in CA
Legal business name
FARWEST DENTAL GROUP
Practice address
8880 S Broadway
Los Angeles, CA 90003-3635
Phone
(323) 758-6768
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Anas Alkwadri
Title
Dentist/Owner
Phone
(310) 835-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50718 CA Primary

Addresses

Primary practice location

8880 S Broadway
Los Angeles, CA 90003-3635

Mailing address

8880 S Broadway
Los Angeles, CA 90003-3635
Phone (323) 758-6768

National Provider Directory

National Provider Directory
Tax ID family
Farwest Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8880 S Broadway
Los Angeles, CA 90003
Phone (323) 750-1196

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1750700134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033635",
            "telephone_number": "323-758-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033635",
            "telephone_number": "323-758-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARWEST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "ALKWADRI",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-835-5130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.