NPIMap

Organization Active NPI

Ganji DMD Dental Corporation

  • Preferred Provider Organization
  • Hawthorne, CA
National Provider Identifier
1912319088
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
58334 Issued in CA
Legal business name
GANJI DMD DENTAL CORPORATION
Doing business as
Washington Dental Arts
Practice address
14650 Aviation Blvd Ste 220
Hawthorne, CA 90250-6666
Phone
(310) 643-8045
Fax
(310) 643-8410
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
David Ganji, DMD
Title
Owner/Dentist
Phone
(310) 643-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 58334 CA Primary

Addresses

Primary practice location

14650 Aviation Blvd Ste 220
Hawthorne, CA 90250-6666

Mailing address

14650 Aviation Blvd Ste 220
Hawthorne, CA 90250-6666
Phone (310) 643-8045

Other names 1

  • Washington Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

14650 Aviation Blvd
Ste 220
Hawthorne, CA 90250
Phone (310) 643-0125

Practitioners & affiliated clinicians

Practitioners 4

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": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1912319088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 220",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506666",
            "telephone_number": "310-643-8045",
            "fax_number": "310-643-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 220",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506666",
            "telephone_number": "310-643-8045",
            "fax_number": "310-643-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANJI DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "GANJI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-643-8045",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "58334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.