Individual provider Active NPI

Dean Arthur Angelo Furkioti Jr., DDS

  • General Practice Dentistry
  • Redondo Beach, CA
National Provider Identifier
1932702990
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104255 Issued in CA
Practice address
220 Vista del Mar Ste B
Redondo Beach, CA 90277-5468
Phone
(310) 540-4882
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104255 CA Primary

Addresses

Primary practice location

220 Vista del Mar Ste B
Redondo Beach, CA 90277-5468

Mailing address

220 Vista del Mar Ste B
Redondo Beach, CA 90277-5468
Phone (310) 540-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104255CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1932702990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VISTA DEL MAR STE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775468",
            "telephone_number": "310-540-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VISTA DEL MAR STE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775468",
            "telephone_number": "310-540-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURKIOTI",
        "first_name": "DEAN",
        "middle_name": "ARTHUR ANGELO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.