Organization Active NPI

J & R Dental Enterprise

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1780045781
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56546 Issued in CA
Legal business name
J & R DENTAL ENTERPRISE
Doing business as
Herbert Family Dentistry
Practice address
4065 Whittier Blvd
Suite 201
Los Angeles, CA 90023-2556
Phone
(818) 455-1734
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Dr. Yolanda E Cortez, DDS
Title
Dentist Director
Phone
(818) 455-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56546 CA Primary

Addresses

Primary practice location

4065 Whittier Blvd
Suite 201
Los Angeles, CA 90023-2556

Mailing address

4065 Whittier Blvd
Suite 201
Los Angeles, CA 90023-2556
Phone (818) 455-1734

Other names 1

  • Herbert Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1780045781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "818-455-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "818-455-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & R DENTAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST DIRECTOR",
        "authorized_official_telephone_number": "818-455-1734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2016; 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.