Inna Kagan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

43984 Issued in CA

Practice address

17720 Sherman Way
Reseda, CA 91335-3317

Phone

(818) 705-0111

Fax

(818) 705-2281

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inna Kagan D.D.S. a Professional Dental Corporation

  • General Practice Dentistry
  • Reseda, CA
  • NPI 1366457731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1033308580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17720 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353317",
            "telephone_number": "818-705-0111",
            "fax_number": "818-705-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353317",
            "telephone_number": "818-705-0111",
            "fax_number": "818-705-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "INNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyko Ventures, Inc
• Ariel Rose Juarez, DMD
• Lynn Julian
• Julia Marie Jung, BA, MSN, RN-BC, CNL
• Nathalie Jurado
• Harutyun Kagoyan, PHARMD.
• Manouchehr Kahen, LAC
• Larissa Kalife, MD
• Julia Kaluga, PSY. D, LPCC, LMFT
• Kamal Matian DDS Inc.

• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.