John P. Ducar, D.D.S., Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

35488 Issued in CA

Legal business name

JOHN P. DUCAR, D.D.S., INC

Practice address

4201 Torrance Blvd
Suite 450
Torrance, CA 90503-4504

Phone

(310) 540-1415

Fax

(310) 540-1423

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John P. Ducar, D.D.S.NPI 1720083397

Title

President

Phone

(310) 540-1415

Specialties & licenses 1

Addresses

Other names 1

• Ducar & Shepard, D.D.S., Inc. Former legal business name

Tax ID family

Ducar Shepard DDS Inc2 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.

• John P. Ducar, D.D.S., Inc.

  • Periodontics
  • Torrance, CA
  • NPI 1679769731
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Phillip Ducar, D.D.S.

  • Periodontics
  • Torrance, CA
  • NPI 1720083397
  NPD (past) Authorized official
• Sharon Phamduong, DDS, MS

  • Periodontics
  • Torrance, CA
  • NPI 1477785103
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1992255335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 450",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-540-1415",
            "fax_number": "310-540-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 450",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-540-1415",
            "fax_number": "310-540-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. DUCAR, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "DUCAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-540-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "35488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ducar & Shepard, D.D.S., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Periodontics in Torrance, CA
• Providers in Torrance, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.