Dr Eduard Gutgarts DDS a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28564 Issued in CA

Legal business name

DR EDUARD GUTGARTS DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

1510 N Poinsettia PL
Los Angeles, CA 90046

Phone

(323) 851-7140

Fax

(323) 851-6117

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eduard Gutgarts, D.D.S.NPI 1689703407

Title

President

Phone

(323) 851-7140

Specialties & licenses 1

Addresses

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.

• Eduard M. Gutgarts, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1689703407
  Authorized official Same address or phone

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1942411830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N POINSETTIA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463611",
            "telephone_number": "323-851-7140",
            "fax_number": "323-851-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N POINSETTIA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-851-7140",
            "fax_number": "323-851-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDUARD GUTGARTS DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "GUTGARTS",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-851-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 29, 2018; 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.