NPIMap

Organization Active NPI

Bardi-Nugent-Suh Dental Corporation

  • Endodontics
  • Culver City, CA
National Provider Identifier
1962234088
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BARDI-NUGENT-SUH DENTAL CORPORATION
Practice address
4338 Sepulveda Blvd
Culver City, CA 90230-4723
Phone
(310) 439-1006
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Mark NugentNPI 1700244746
Title
Secretary
Phone
(917) 532-9493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

4338 Sepulveda Blvd
Culver City, CA 90230-4723

Mailing address

4338 Sepulveda Blvd
Culver City, CA 90230-4723
Phone (310) 439-1006

National Provider Directory

National Provider Directory

Locations

4338 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 439-1006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1962234088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304723",
            "telephone_number": "310-439-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304723",
            "telephone_number": "310-439-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDI-NUGENT-SUH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "917-532-9493"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.