NPIMap

Organization Active NPI

Jenifer B Labrador DDS Inc

  • Dentist
  • Carson, CA
National Provider Identifier
1871614818
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42840 Issued in CA
Legal business name
JENIFER B LABRADOR DDS INC
Practice address
22211 S Avalon Blvd
Carson, CA 90745
Phone
(310) 835-9010
Fax
(310) 835-3044
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Jenifer B Labrador, DDSNPI 1770622920
Title
Dentist Owner
Phone
(310) 835-9010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42840 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 42840 CA

Addresses

Primary practice location

22211 S Avalon Blvd
Carson, CA 90745

Mailing address

22211 S Avalon Blvd
Carson, CA 90745
Phone (310) 835-9010

National Provider Directory

National Provider Directory

Locations

22211 Avalon Blvd
Carson, CA 90745
Phone (310) 835-9010

Practitioners & affiliated clinicians

Practitioners 2

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": "1214179200000",
    "number": "1871614818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22211 S AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-835-9010",
            "fax_number": "310-835-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 S AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-835-9010",
            "fax_number": "310-835-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER B LABRADOR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LABRADOR",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "310-835-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42840",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.