UCLA Faculty Group Dental Practice

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

277 (SPECIAL PERMIT) Issued in CA

Legal business name

UCLA FACULTY GROUP DENTAL PRACTICE

Practice address

100 UCLA Medical PLZ Ste 350
Los Angeles, CA 90095-6999

Phone

(310) 794-5750

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Rochelle Bache

Title

Manager

Phone

(310) 794-5750

Specialties & licenses 1

Addresses

Tax ID family

UCLA Faculty Group Dental Practice2 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.

• The Regents of the University of California

  • Pediatric Dentistry
  • Los Angeles, CA
  • NPI 1700978780
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Regents of the University of California

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1689692303
  NPPES parent name

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1992163786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956999",
            "telephone_number": "310-794-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956999",
            "telephone_number": "310-794-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA FACULTY GROUP DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "BACHE",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-794-5750"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "277 (SPECIAL PERMIT)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UCLA Dental Clinics
• UCLA Dental Clinics
• UCLA Department of Pediatric Group Practice
• UCLA Department of Surgery
• UCLA Eating Disorders Program
• UCLA Family Practice
• UCLA Grad Endo Clinic
• UCLA Graduate Prosthodontics
• UCLA Health System
• UCLA Health System

• Endodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.