Organization Active NPI

Dr Amir and Dr Niss Dental Partnership

  • General Practice Dentistry
  • North Hills, CA
National Provider Identifier
1023164530
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR AMIR AND DR NISS DENTAL PARTNERSHIP
Practice address
9050 Sepulveda Blvd
North Hills, CA 91343-4308
Phone
(818) 672-8800
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Pavel NissNPI 1922121045
Title
Partner
Phone
(818) 672-8800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9050 Sepulveda Blvd
North Hills, CA 91343-4308

Mailing address

9050 Sepulveda Blvd
North Hills, CA 91343-4308

National Provider Directory

National Provider Directory

Locations

9050 Sepulveda Blvd
North Hills, CA 91343
Phone (323) 683-2668

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1023164530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434308",
            "telephone_number": "818-672-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMIR AND DR NISS DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "NISS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-672-8800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.