Active NPI
Grisel Del Cueto, D.D.S
- General Practice Dentistry
- Reseda, CA
National Provider Identifier
1063621605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50591
- Practice address
- 18440 Sherman Way
Reseda, CA 91335-4218 - Phone
- (818) 774-9709
- Fax
- (818) 827-3086
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50591 | CA | Primary |
Addresses
Primary practice location
18440 Sherman Way
Reseda, CA 91335-4218
Mailing address
9954 Burnet Ave
Mission Hills, CA 91345-3010
Phone (818) 893-5898
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50591 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063621605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9954 BURNET AVE",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913453010",
"telephone_number": "818-893-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18440 SHERMAN WAY",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354218",
"telephone_number": "818-774-9709",
"fax_number": "818-827-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CUETO",
"first_name": "GRISEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.