Organization Active NPI

Daniel a Matatiaho DDS Inc

Doing business as West Hollywood Smile Dental

  • Dental Clinic/Center
  • W Hollywood, CA
National Provider Identifier
1033978523
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL A MATATIAHO DDS INC
Doing business as
West Hollywood Smile Dental
Practice address
8205 Santa Monica Blvd Ste 12
W Hollywood, CA 90046-5963
Phone
(323) 654-1100
NPI assigned
Mar 18, 2024
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Daniel Aaron MatatiahoNPI 1053822353
Title
Ceo
Phone
(323) 654-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8205 Santa Monica Blvd Ste 12
W Hollywood, CA 90046-5963

Mailing address

8205 Santa Monica Blvd Ste 12
W Hollywood, CA 90046-5963
Phone (323) 654-1100

Other names 1

  • West Hollywood Smile Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1033978523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD STE 12",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465963",
            "telephone_number": "323-654-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD STE 12",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465963",
            "telephone_number": "323-654-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A MATATIAHO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "MATATIAHO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-654-1100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hollywood Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in W Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.