Harry Kawilarang DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31644 Issued in CA

Legal business name

HARRY KAWILARANG DDS, INC.

Practice address

2553 E Slauson Ave
Huntington Park, CA 90255-2897

Phone

(323) 582-8008

Fax

(323) 582-4994

NPI assigned

Jul 30, 2007

Last updated

Jun 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harry Kawilarang, DDSNPI 1275553745

Title

Ceo

Phone

(323) 582-8008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Harry Kawilarang, DDS

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1275553745
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1932399565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 E SLAUSON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552897",
            "telephone_number": "323-582-8008",
            "fax_number": "323-582-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 E SLAUSON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552897",
            "telephone_number": "323-582-8008",
            "fax_number": "323-582-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY KAWILARANG DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KAWILARANG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-582-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "31644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B31644",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.