NPIMap

Organization Active NPI

Terry D. Ahn DDS., Inc

Doing business as Maywood Dental Care

  • Dental Clinic/Center
  • Maywood, CA
National Provider Identifier
1922491273
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54576 Issued in CA
Legal business name
TERRY D. AHN DDS., INC
Doing business as
Maywood Dental Care
Practice address
6059 Atlantic Blvd
Maywood, CA 90270-3118
Phone
(323) 560-3131
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
7727As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Terry D Ahn, DDSNPI 1003991910
Title
Owner
Phone
(323) 560-3131

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 54576 CA Primary

Addresses

Primary practice location

6059 Atlantic Blvd
Maywood, CA 90270-3118

Mailing address

6059 Atlantic Blvd
Maywood, CA 90270-3118
Phone (323) 560-3131

Other names 1

  • Maywood Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Terry D Ahn DDS Inc

Locations

6059 Atlantic Blvd
Maywood, CA 90270
Phone (323) 560-3131

Practitioners & affiliated clinicians

Practitioners 5

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1922491273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703118",
            "telephone_number": "323-560-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703118",
            "telephone_number": "323-560-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY D. AHN DDS., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "7727",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-560-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maywood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.