Individual provider Active NPI

Michelle Pui Han To, DDS

  • Pediatric Dentistry
  • Sherman Oaks, CA
National Provider Identifier
1013119718
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
46337 Issued in CA
Practice address
13308 Moorpark St
Sherman Oaks, CA 91423-3918
Phone
(818) 789-3844
NPI assigned
Jun 4, 2007
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 46337 CA Primary

Addresses

Primary practice location

13308 Moorpark St
Sherman Oaks, CA 91423-3918

Mailing address

13308 Moorpark St
Sherman Oaks, CA 91423-3918
Phone (818) 789-3844

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

State licenses

LicenseStateTypeSpecialty
46337CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle P H to DDS a Professional Corporation Pediatric Dentistry Current Accepting new patients
Michelle P to DDS, Apc Pediatric Dentistry Past Accepting new patients

Locations

13320 Riverside Dr
Ste 202
Sherman Oaks, CA 91423
Phone (310) 367-8877

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1013119718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 MOORPARK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233918",
            "telephone_number": "818-789-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13308 MOORPARK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233918",
            "telephone_number": "818-789-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "MICHELLE",
        "middle_name": "PUI HAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.