Active NPI
J.N. Momary, DDS, Inc.
- Pediatric Dentistry
- Manhattan Beach, CA
National Provider Identifier
1922177989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 17737
- 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, 2020
- 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
- Ms. Kathy Vincent
- Title
- Bookkeeper
- Phone
- (310) 545-4549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Manhattan Beach, CA
- NPI 1801875703
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.