Radmand Professional Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

38118 Issued in CA

Legal business name

RADMAND PROFESSIONAL DENTAL GROUP

Practice address

15720 Ventura Blvd
609
Encino, CA 91436-2914

Phone

(818) 385-3500

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reza Radmand

Title

Owner

Phone

(818) 385-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Radmand Professional Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Radmand Professional Dental Group

  • Dentist
  • Encino, CA
  • NPI 1598941056
  NPD tax ID

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1043494370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "609",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-385-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "609",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-385-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADMAND PROFESSIONAL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "RADMAND",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-385-3500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G91540-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel McNally Lac.
• Amir Elijah Rad, M.D.
• Radiant Reclamation Family Therapy Inc
• Radiology Disc of Encino, Inc.
• Radiology Disc of Miracle Mile Inc
• Radmand Professional Dental Group
• Nadja Radmanovic
• Radnia Chiropractic Clinic Inc.
• Nassir Radnia, DC
• Raeesy MD Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.