Eric Kardovich, DMD, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

42558 Issued in CA

Legal business name

ERIC KARDOVICH, DMD, INC.

Practice address

1353 W 6TH St
San Pedro, CA 90732-3515

Phone

(310) 831-0348

Fax

(310) 831-9828

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric KardovichNPI 1336162114

Title

Owner

Phone

(310) 831-0348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Eric Kardovich, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Pedro, CA
  • NPI 1336162114
  NPD (past) Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1881918936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323515",
            "telephone_number": "310-831-0348",
            "fax_number": "310-831-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323515",
            "telephone_number": "310-831-0348",
            "fax_number": "310-831-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC KARDOVICH, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "KARDOVICH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-831-0348",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "42558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.