NPIMap

Organization Active NPI

Lytle, Tate & Stamper, a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • La Canada, CA
National Provider Identifier
1013126648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LYTLE, TATE & STAMPER, A DENTAL CORPORATION
Practice address
1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150
Phone
(818) 952-8183
Fax
(818) 952-6437
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl A Zakarian
Title
Practice Administrator
Phone
(818) 952-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150

Mailing address

1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150
Phone (818) 952-8183

National Provider Directory

National Provider Directory

Locations

1370 Foothill Blvd
Ste 200
La Canada Flt, CA 91011
Phone (818) 925-8183

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013126648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYTLE, TATE & STAMPER, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAKARIAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-952-8183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.