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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 224160
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 224160 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | 41051 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Agoura Hills, CA
- NPI 1407156219
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.