NPIMap

Organization Active NPI

Universal Dental Group

  • Dentist
  • Bellflower, CA
National Provider Identifier
1881930741
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42731 Issued in CA
Legal business name
UNIVERSAL DENTAL GROUP
Practice address
9414 Alondra Blvd
Bellflower, CA 90706-4530
Phone
(562) 920-7711
NPI assigned
Dec 21, 2012
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Lawrence T HaNPI 1104030253
Title
President
Phone
(714) 554-1783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 42731 CA Primary

Addresses

Primary practice location

9414 Alondra Blvd
Bellflower, CA 90706-4530

Mailing address

9414 Alondra Blvd
Bellflower, CA 90706-4530
Phone (562) 920-7711

Other identifiers 1

IdentifierTypeStateIssuer
G91529MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Lawrence T Ha Bichhhuyen Tong 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1881930741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 ALONDRA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064530",
            "telephone_number": "562-920-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 ALONDRA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064530",
            "telephone_number": "562-920-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-554-1783"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.