Ananda R. Murthy, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28841 Issued in CA

Legal business name

ANANDA R. MURTHY, DDS, INC.

Practice address

620 E San Antonio Dr
Long Beach, CA 90807-2203

Phone

(562) 142-4144

Fax

(562) 424-1441

NPI assigned

May 30, 2014

Last updated

May 30, 2014By 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. Ananda R. Murthy, DDSNPI 1235354648

Title

Owner

Phone

(562) 424-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ananda R Murthy, DDS,MAGD

  • Dentist
  • Diamond Bar, CA
  • NPI 1235354648
  NPD (past) Authorized official

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1750793345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E SAN ANTONIO DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072203",
            "telephone_number": "562-142-4144",
            "fax_number": "562-424-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E SAN ANTONIO DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072203",
            "telephone_number": "562-142-4144",
            "fax_number": "562-424-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANDA R. MURTHY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "MURTHY",
        "authorized_official_first_name": "ANANDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-424-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B-28841-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.