Organization Active NPI

Omar & Yusuf Dental Corp

Doing business as Downey Beautiful Smile

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1821397670
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54569 Issued in CA
Legal business name
OMAR & YUSUF DENTAL CORP
Doing business as
Downey Beautiful Smile
Practice address
11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026
Phone
(562) 862-2427
Fax
(562) 862-2463
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Samia Ali, DDSNPI 1508958794
Title
Owner
Phone
(562) 862-2427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54569 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026

Mailing address

11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026
Phone (562) 862-2427

Other names 1

  • DOWNEY BEAUTIFUL SMILE Doing business as

National Provider Directory

National Provider Directory

Locations

11411 Brookshire Ave
Ste 405
Downey, CA 90241
Phone (314) 941-8029

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1821397670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 405",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-862-2427",
            "fax_number": "562-862-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 405",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-862-2427",
            "fax_number": "562-862-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR & YUSUF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-862-2427",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNEY BEAUTIFUL SMILE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.