NPIMap

Organization Active NPI

Jonathan Lo D.D.S., Inc.

  • Pediatric Dentistry
  • Rolling Hills Estates, CA
National Provider Identifier
1992001200
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
54926 Issued in CA
Legal business name
JONATHAN LO D.D.S., INC.
Practice address
550 Deep Valley Dr
Suite 345
Rolling Hills Estates, CA 90274-3664
Phone
(310) 377-4551
Fax
(310) 541-6042
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Jonathan H Lo, D.D.S.NPI 1063622371
Title
Owner - Pediatric Dentist
Phone
(310) 377-4551

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 54926 CA Primary

Addresses

Primary practice location

550 Deep Valley Dr
Suite 345
Rolling Hills Estates, CA 90274-3664

Mailing address

550 Deep Valley Dr
Suite 345
Rolling Hills Estates, CA 90274-3664
Phone (310) 377-4551

National Provider Directory

National Provider Directory

Locations

550 Deep Valley Dr
Ste 345
Rolling Hills Estates, CA 90274
Phone (310) 377-4551

Practitioners & affiliated clinicians

Practitioners 6

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": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1992001200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 345",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743664",
            "telephone_number": "310-377-4551",
            "fax_number": "310-541-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 345",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743664",
            "telephone_number": "310-377-4551",
            "fax_number": "310-541-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN LO D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER - PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "310-377-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "54926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.