John Brothers DDS MD Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

JOHN BROTHERS DDS MD INC

Practice address

23441 Madison St Ste 200
Torrance, CA 90505-4756

Phone

(206) 465-8020

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

John Brothers, DDS MD

Title

Owner

Phone

(206) 465-8020

Specialties & licenses 1

Addresses

Other names 1

• Coastline Oral and Facial Surgery Doing business as

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1952167033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054756",
            "telephone_number": "206-465-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054756",
            "telephone_number": "206-465-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROTHERS DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-465-8020",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastline Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellington Joe, D.D.S.
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• Anjana Johanis, NP-C
• Michelle Sylvia Johanis
• Niparpon Vonghong Johansen, MA, LMFT, ATR
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• John C Lim MD & Francine F Ito MD a Professional Corporation
• John C Lim MD & Francine F Ito MD a Professional Corporation
• John C. Lim, MD and Francine Ito,MD
• John D Plut MD Inc

• Oral and Maxillofacial Surgery Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.