NPIMap

Organization Active NPI

Dae H Song DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1831211820
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25630 Issued in CA
Legal business name
DAE H SONG DDS INC
Practice address
3129 N San Fernando Rd
Los Angeles, CA 90065-1412
Phone
(323) 257-7744
Fax
(323) 257-5430
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Dae H Song, D.D.S
Title
Owner
Phone
(323) 257-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25630 CA Primary

Addresses

Primary practice location

3129 N San Fernando Rd
Los Angeles, CA 90065-1412

Mailing address

3129 N San Fernando Rd
Los Angeles, CA 90065-1412
Phone (323) 257-7744

Other names 1

  • Dae H Song DDS Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Belgrave Family Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1831211820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651412",
            "telephone_number": "323-257-7744",
            "fax_number": "323-257-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651412",
            "telephone_number": "323-257-7744",
            "fax_number": "323-257-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE H SONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DAE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-257-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dae H Song DDS Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 1, 2008; 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.