City Terrace Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CITY TERRACE DENTAL

Practice address

2407 N Broadway
Los Angeles, CA 90031-2218

Phone

(323) 221-3165

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Aquileo Martinez, DDS

Title

Owner

Phone

(323) 528-1433

Specialties & licenses 1

Addresses

Other names 1

• City Terrace Dental Doing business as

Tax ID family

City Terrace Dental2 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.

• City Terrace Dental

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1548800576
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arturo Ibarra, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1386787976
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1801434196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "323-221-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "323-221-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3604 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900632326",
            "country_code": "US",
            "telephone_number": "323-260-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY TERRACE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AQUILEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-528-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Terrace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Angels Emergency Medical Group, Inc.
• City of Angels Hospice Care
• City of Angels Radiology Medical Group
• City of Los Angeles
• City Terrace Dental
• City View la, LLC.
• City View Villa, LLC
• Citylife Rehabilitation
• Cityrose Home Health Services Inc.
• Citywide Mental Health, a Nursing Corporation

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 17, 2019; 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.