NPIMap

Organization Active NPI

David a Peto DDS, a Professional Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1881863066
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54564 Issued in CA
Legal business name
DAVID A PETO DDS, A PROFESSIONAL CORPORATION
Practice address
1125 S Beverly Dr Ste 750B
Los Angeles, CA 90035-1130
Phone
(310) 277-7645
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
David A Peto, DDS
Title
Dentist
Phone
(310) 556-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54564 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 750B
Los Angeles, CA 90035-1130

Mailing address

1445 Reeves St Apt 107
Los Angeles, CA 90035-2965
Phone (310) 556-4431

National Provider Directory

National Provider Directory

Locations

1125 S Beverly Dr
Ste 750B
Los Angeles, CA 90035
Phone (310) 277-7645

Practitioners & affiliated clinicians

Practitioners 1

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": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1881863066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 REEVES ST APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352965",
            "telephone_number": "310-556-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 750B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351130",
            "telephone_number": "310-277-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A PETO DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PETO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-556-4431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 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.