Michael J. White DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34257 Issued in CA

Legal business name

MICHAEL J. WHITE DDS INC

Doing business as

Fun Zone Dental

Practice address

2002 S Hoover St
Los Angeles, CA 90007-1323

Phone

(213) 596-8056

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael James White, DDS

Title

Ceo

Phone

(213) 596-8056

Specialties & licenses 1

Addresses

Other names 1

• Fun Zone Dental Doing business as

Locations

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1801030044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 WILSHIRE BLVD",
            "address_2": "SUITE 154",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364218",
            "telephone_number": "213-596-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071323",
            "telephone_number": "213-596-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. WHITE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-596-8056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fun Zone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Dec 22, 2009; 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.