Individual provider Active NPI

Aidailis Capestany, D.D.S

  • Dentist
  • Northridge, CA
National Provider Identifier
1043818503
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105694 Issued in CA
Practice address
8540 Reseda Blvd Ste 101
Northridge, CA 91324-6144
Phone
(818) 701-6667
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105694 CA Primary

Addresses

Primary practice location

8540 Reseda Blvd Ste 101
Northridge, CA 91324-6144

Mailing address

8540 Reseda Blvd Ste 101
Northridge, CA 91324-6144
Phone (818) 701-6667

Other names 1

  • Aidailis Gonzalez Iglesias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105694CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
H Reza a Dental Corporation CurrentSince Mar 30, 2025 Accepting new patients

Locations

8540 Reseda Blvd
Ste 101
Northridge, CA 91324
Phone (818) 370-2620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1043818503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246144",
            "telephone_number": "818-701-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246144",
            "telephone_number": "818-701-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPESTANY",
        "first_name": "AIDAILIS",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDAILIS",
            "last_name": "GONZALEZ IGLESIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.