Organization Active NPI

Ahuja Dental Corporation PLLC

  • Dentist
  • Marina del Rey, CA
National Provider Identifier
1952739732
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57141 Issued in CA
Legal business name
AHUJA DENTAL CORPORATION PLLC
Practice address
4676 Admiralty Way Ste 532
Marina del Rey, CA 90292-6657
Phone
(310) 734-4547
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Arshjot Singh Ahuja
Title
President
Phone
(909) 456-5089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57141 CA Primary

Addresses

Primary practice location

4676 Admiralty Way Ste 532
Marina del Rey, CA 90292-6657

Mailing address

4676 Admiralty Way Ste 532
Marina del Rey, CA 90292-6657
Phone (310) 734-4547

Other names 1

  • Fuller Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahuja Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4676 Admiralty Way
Ste 532
Marina del Rey, CA 90292
Phone (310) 266-6781

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1952739732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 ADMIRALTY WAY STE 532",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926657",
            "telephone_number": "310-734-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 ADMIRALTY WAY STE 532",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926657",
            "telephone_number": "310-734-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHUJA DENTAL CORPORATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "ARSHJOT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-456-5089",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.