NPIMap

Organization Active NPI

Kamdar Dental Corp

  • Dentist
  • Cerritos, CA
National Provider Identifier
1871978197
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58167 Issued in CA
Legal business name
KAMDAR DENTAL CORP
Practice address
17214 Norwalk Blvd
Cerritos, CA 90703-2718
Phone
(562) 860-6011
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Rashid Kamdar, DDSNPI 1215168554
Title
Owner
Phone
(949) 767-7609

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 58167 CA Primary

Addresses

Primary practice location

17214 Norwalk Blvd
Cerritos, CA 90703-2718

Mailing address

17214 Norwalk Blvd
Cerritos, CA 90703-2718
Phone (562) 860-6011

National Provider Directory

National Provider Directory

Locations

17214 Norwalk Blvd
Cerritos, CA 90703
Phone (562) 860-6011

Practitioners & affiliated clinicians

Practitioners 3

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": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1871978197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17214 NORWALK BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032718",
            "telephone_number": "562-860-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17214 NORWALK BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032718",
            "telephone_number": "562-860-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMDAR DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-767-7609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.