Organization Active NPI

Daniel Sur DDS, Inc.

Doing business as Kids Dental Land

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1841691425
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51139 Issued in CA
Legal business name
DANIEL SUR DDS, INC.
Doing business as
Kids Dental Land
Practice address
4749 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209
Phone
(323) 268-2881
Fax
(323) 268-2181
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Daniel Sur
Title
Ceo
Phone
(661) 607-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51139 CA Primary

Addresses

Primary practice location

4749 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209

Mailing address

4749 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209
Phone (323) 268-2881

Other names 1

  • KIDS DENTAL LAND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Sur DDS Inc3 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.

Locations

4749 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 268-2881

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1841691425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-268-2881",
            "fax_number": "323-268-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-268-2881",
            "fax_number": "323-268-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SUR DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "SUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-607-8515"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS DENTAL LAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 2014; 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.