Active NPI
Childrens Dentistry
- Pediatric Dentistry
- Inglewood, CA
National Provider Identifier
1902148927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 29015
- Legal business name
- CHILDRENS DENTISTRY
- Practice address
- 345 E Manchester Blvd
Inglewood, CA 90301-1814 - Phone
- (310) 672-7822
- Fax
- (310) 330-3722
- NPI assigned
- Mar 18, 2013
- Last updated
- Mar 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Percy Mills
- Title
- Manager
- Phone
- (310) 672-7822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 29015 | CA | Primary |
Addresses
Primary practice location
345 E Manchester Blvd
Inglewood, CA 90301-1814
Mailing address
345 E Manchester Blvd
Inglewood, CA 90301-1814
Phone (310) 672-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D29015 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Children's Dentistry - Linda Barconey DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Children's Dentistry - Linda Barconey, DDS, Inc
- Pediatric Dentistry
- Inglewood, CA
- NPI 1407275928
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.
-
- Pediatric Dentistry
- Inglewood, CA
- NPI 1710103312
-
- Dentist
- Inglewood, CA
- NPI 1992994842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363564800000",
"number": "1902148927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011814",
"telephone_number": "310-672-7822",
"fax_number": "310-330-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011814",
"telephone_number": "310-672-7822",
"fax_number": "310-330-3722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "PERCY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "310-672-7822"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "29015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D29015",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.