Organization Active NPI

Teresa M. Avendano-Galvez,DMD, a Professional Corporation

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1831307610
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37079 Issued in CA
Legal business name
TERESA M. AVENDANO-GALVEZ,DMD, A PROFESSIONAL CORPORATION
Practice address
1451 W Artesia Blvd Ste 6
Gardena, CA 90248-3232
Phone
(310) 323-0290
NPI assigned
May 18, 2007
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Teresa Martha Avendano-Galvez, D.M.D.NPI 1407801871
Title
President- Dentist Owner
Phone
(310) 323-0290

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 37079 CA Primary

Addresses

Primary practice location

1451 W Artesia Blvd Ste 6
Gardena, CA 90248-3232

Mailing address

1451 W Artesia Blvd Ste 6
Gardena, CA 90248-3232
Phone (310) 323-0290

Other identifiers 1

IdentifierTypeStateIssuer
B37079-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

1451 W Artesia Blvd
Ste 6
Gardena, CA 90248
Phone (310) 323-0290

Practitioners & affiliated clinicians

Practitioners 2

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1831307610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W ARTESIA BLVD STE 6",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483232",
            "telephone_number": "310-323-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W ARTESIA BLVD STE 6",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483232",
            "telephone_number": "310-323-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA M. AVENDANO-GALVEZ,DMD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "AVENDANO-GALVEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT- DENTIST OWNER",
        "authorized_official_telephone_number": "310-323-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B37079-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.