Pavel Niss Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PAVEL NISS DENTAL CORPORATION

Practice address

9050 Sepulveda Blvd
North Hills, CA 91343-4308

Phone

(323) 683-2668

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pavel Niss, DDSNPI 1922121045

Title

President

Phone

(323) 683-2668

Specialties & licenses 1

Addresses

Locations

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.

• Pavel Niss

  • Dentist
  • North Hills, CA
  • NPI 1922121045
  NPD (past) Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1053886044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 RHEA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356834",
            "telephone_number": "323-683-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434308",
            "telephone_number": "323-683-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVEL NISS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "NISS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-683-2668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Parvizi, PHARMD
• Janeli Patino-Acevedo
• Kristie Patton
• David Arnold Paul
• Desiree Denise Paulk
• Caroline Austin Payne
• Samantha Victoria Paz, MSW
• Jonathan Pearson
• Monica Isabel Pearson, MS
• Penny Lane Center

• Dentist in North Hills, CA
• Providers in North Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.