Organization Active NPI

J.N. Momary, DDS, Inc.

  • Pediatric Dentistry
  • Manhattan Beach, CA
National Provider Identifier
1922177989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17737 Issued in CA
Legal business name
J.N. MOMARY, DDS, INC.
Practice address
973 Manhattan Beach Blvd
Suite E
Manhattan Beach, CA 90266-5131
Phone
(310) 545-4549
Fax
(310) 545-8011
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kathy Vincent
Title
Bookkeeper
Phone
(310) 545-4549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 17737 CA Primary

Addresses

Primary practice location

973 Manhattan Beach Blvd
Suite E
Manhattan Beach, CA 90266-5131

Mailing address

973 Manhattan Beach Blvd
Suite E
Manhattan Beach, CA 90266-5131
Phone (310) 545-4549

National Provider Directory

National Provider Directory

Locations

973 Manhattan Beach Blvd
Ste E
Manhattan Beach, CA 90266
Phone (310) 545-4549

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922177989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 MANHATTAN BEACH BLVD",
            "address_2": "SUITE E",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665131",
            "telephone_number": "310-545-4549",
            "fax_number": "310-545-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 MANHATTAN BEACH BLVD",
            "address_2": "SUITE E",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665131",
            "telephone_number": "310-545-4549",
            "fax_number": "310-545-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.N. MOMARY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "310-545-4549",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "17737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.