NPIMap

Organization Active NPI

Anthony Duncan DDS Dominguez Hills Dental Group, Inc.

  • Dental Clinic/Center
  • Carson, CA
National Provider Identifier
1891174009
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
34086 Issued in CA
Legal business name
ANTHONY DUNCAN DDS DOMINGUEZ HILLS DENTAL GROUP, INC.
Practice address
20930 Bonita St Ste T
Carson, CA 90746-3686
Phone
(310) 515-1490
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. Anthony Duncan, D.D.S.NPI 1215004510
Title
Ceo
Phone
(310) 515-1490

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
Dental Clinic/Center 261QD0000X 34086 CA Primary

Addresses

Primary practice location

20930 Bonita St Ste T
Carson, CA 90746-3686

Mailing address

20930 Bonita St Ste T
Carson, CA 90746-3686
Phone (310) 515-1490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1891174009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 BONITA ST STE T",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463686",
            "telephone_number": "310-515-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 BONITA ST STE T",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463686",
            "telephone_number": "310-515-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY DUNCAN DDS DOMINGUEZ HILLS DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-515-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "34086",
            "primary": true
        }
    ],
    "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 May 20, 2015; 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.