Organization Active NPI

Michelle to, DDS Inc

  • Pediatric Dentistry
  • East Los Angeles, CA
National Provider Identifier
1972528958
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
46337 Issued in CA
Legal business name
MICHELLE TO, DDS INC
Practice address
151 S Mednik Ave
East Los Angeles, CA 90022-1606
Phone
(323) 263-3303
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Michelle Pui Han To, DDS
Title
Owner
Phone
(323) 263-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 46337 CA Primary

Addresses

Primary practice location

151 S Mednik Ave
East Los Angeles, CA 90022-1606

Mailing address

151 S Mednik Ave
East Los Angeles, CA 90022-1606
Phone (323) 263-3303

Other names 1

  • Children's Dental Fun Land Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Dental Fun Land2 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

151 S Mednik Ave
Los Angeles, CA 90022
Phone (310) 384-0832

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1972528958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S MEDNIK AVE",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-263-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S MEDNIK AVE",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-263-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE TO, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PUI HAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-263-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Fun Land",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.