Justin Cowan Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTIN COWAN DENTAL CORPORATION

Practice address

4601 Pacific Coast Hwy
Long Beach, CA 90804

Phone

(562) 366-8931

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Justin Cowan

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1942039904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-366-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN COWAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Jurgelis
• Brona Christina Jurgensen, PT
• Just Eat and Heal
• Justice RX Group, LLC
• Linda Justice
• Justin Grasmeyer Sports Chiropractic Inc
• Justin Prasad, OD a Professional Optometric Corporation (Long Beach Family Optometry)
• Justine a Gonzalez, OD, Inc
• Jwbjw-Adhc (Active Adult Day Healthcare)
• Jyoti S Datta MD Inc

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.