Organization Active NPI

Judith S. Pabst, D.D.S.,Inc. and Shohreh Selki, D.D.S. a Partnership

  • Pediatric Dentistry
  • Agoura Hills, CA
National Provider Identifier
1053527002
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
224160 Issued in CA
Legal business name
JUDITH S. PABST, D.D.S.,INC. AND SHOHREH SELKI, D.D.S. A PARTNERSHIP
Practice address
29525 Canwood St Ste 201
Agoura Hills, CA 91301-4231
Phone
(818) 991-8010
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mrs. Elaine Tanassy
Title
Office Manager
Phone
(818) 991-8010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 224160 CA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 41051 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 031691 CA

Addresses

Primary practice location

29525 Canwood St Ste 201
Agoura Hills, CA 91301-4231

Mailing address

29525 Canwood St
Ste 201
Agoura Hills, CA 91301-4233
Phone (818) 991-8010

National Provider Directory

National Provider Directory

Locations

29525 Canwood St
Ste 201
Agoura Hills, CA 91301
Phone (818) 991-8010

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1053527002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-991-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014231",
            "telephone_number": "818-991-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH S. PABST, D.D.S.,INC. AND SHOHREH SELKI, D.D.S. A PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "TANASSY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-991-8010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "224160",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41051",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "031691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.