NPIMap

Organization Active NPI

Chatsworth Family Dental Group

  • Dental Clinic/Center
  • Chatsworth, CA
National Provider Identifier
1003109612
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D27858 Issued in CA
Legal business name
CHATSWORTH FAMILY DENTAL GROUP
Practice address
21029 Devonshire St
Chatsworth, CA 91311-2315
Phone
(818) 998-6446
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Alan Richard Wolfson, D,D.S.NPI 1720160781
Title
Owner
Phone
(818) 998-6446

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D28675 CA
Dental Clinic/Center 261QD0000X D27858 CA Primary

Addresses

Primary practice location

21029 Devonshire St
Chatsworth, CA 91311-2315

Mailing address

21029 Devonshire St
Chatsworth, CA 91311-2315
Phone (818) 998-6446

National Provider Directory

National Provider Directory

Locations

21029 Devonshire St
Chatsworth, CA 91311
Phone (818) 998-6446

Practitioners & affiliated clinicians

Practitioners 3

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": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1003109612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21029 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112315",
            "telephone_number": "818-998-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21029 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112315",
            "telephone_number": "818-998-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATSWORTH FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-998-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D28675",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D27858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.