Individual provider Active NPI

Michael J Voloshin, D.D.S.

  • Dentist
  • Montebello, CA
National Provider Identifier
1013102706
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41570 Issued in CA
Practice address
865 N Wilcox Ave
Montebello, CA 90640-1801
Phone
(323) 869-8811
Fax
(323) 869-8833
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41570 CA Primary

Addresses

Primary practice location

865 N Wilcox Ave
Montebello, CA 90640-1801

Mailing address

865 N Wilcox Ave
Montebello, CA 90640-1801
Phone (323) 869-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M Voloshin DDS Professional Dental Corporation Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1013102706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 N WILCOX AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401801",
            "telephone_number": "323-869-8811",
            "fax_number": "323-869-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N WILCOX AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401801",
            "telephone_number": "323-869-8811",
            "fax_number": "323-869-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLOSHIN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.