Organization Active NPI

Onwuegbusi and Van Houten Dental Partnership

  • Pediatric Dentistry
  • Manhattan Beach, CA
National Provider Identifier
1982132239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ONWUEGBUSI AND VAN HOUTEN DENTAL PARTNERSHIP
Practice address
500 S Sepulveda Blvd Ste 301
Manhattan Beach, CA 90266-6976
Phone
(310) 683-5576
Fax
(310) 683-4648
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Tera Van Houten, DDS
Title
Partner
Phone
(310) 775-0645

Specialties & licenses 1

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

Addresses

Primary practice location

500 S Sepulveda Blvd Ste 301
Manhattan Beach, CA 90266-6976

Mailing address

500 S Sepulveda Blvd Ste 301
Manhattan Beach, CA 90266-6976
Phone (310) 683-5576

Other names 1

  • Bayview Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982132239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD STE 301",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666976",
            "telephone_number": "310-683-5576",
            "fax_number": "310-683-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD STE 301",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666976",
            "telephone_number": "310-683-5576",
            "fax_number": "310-683-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONWUEGBUSI AND VAN HOUTEN DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAN HOUTEN",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-775-0645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.