Organization Active NPI

Dental Wear

  • Dental Clinic/Center
  • Long Beach, CA
National Provider Identifier
1982947073
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL WEAR
Practice address
1401 E 4TH St
Suite a
Long Beach, CA 90802-1800
Phone
(562) 279-5770
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Lydie Livolsi
Title
President
Phone
(562) 279-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1401 E 4TH St
Suite a
Long Beach, CA 90802-1800

Mailing address

1401 E 4TH St
Suite a
Long Beach, CA 90802-1800
Phone (562) 279-5770

National Provider Directory

National Provider Directory

Locations

1401 E 4th St
Ste A
Long Beach, CA 90802
Phone (562) 279-5770

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1982947073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 4TH ST",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021800",
            "telephone_number": "562-279-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 4TH ST",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021800",
            "telephone_number": "562-279-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LIVOLSI",
        "authorized_official_first_name": "LYDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-279-5770"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.