NPIMap

Organization Active NPI

RK Chetty DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1932381266
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26360 Issued in CA
Legal business name
RK CHETTY DDS INC
Practice address
2525 Colorado Blvd
#A
Los Angeles, CA 90041-1062
Phone
(323) 258-2885
Fax
(323) 258-8004
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. RK Chetty
Title
Dentist
Phone
(323) 258-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26360 CA Primary

Addresses

Primary practice location

2525 Colorado Blvd
#A
Los Angeles, CA 90041-1062

Mailing address

2525 Colorado Blvd
#A
Los Angeles, CA 90041-1062
Phone (323) 258-2885

Other names 1

  • Eagle Rock Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

2525 Colorado Blvd
Ste A
Los Angeles, CA 90041
Phone (323) 258-2885

Practitioners & affiliated clinicians

Practitioners 3

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1932381266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD",
            "address_2": "#A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-258-2885",
            "fax_number": "323-258-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD",
            "address_2": "#A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-258-2885",
            "fax_number": "323-258-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK CHETTY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "CHETTY",
        "authorized_official_first_name": "RK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-258-2885",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Rock Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.