Mihai Nicolae, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42688 Issued in CA

Legal business name

MIHAI NICOLAE, DDS, INC.

Practice address

7335 Van Nuys Blvd
Suite #104
Van Nuys, CA 91405-1998

Phone

(818) 787-6787

Fax

(818) 787-2119

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mihai Nicolae, DDSNPI 1689869448

Title

Owner

Phone

(818) 787-6787

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mihai Nicolae

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1689869448
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1063634723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD",
            "address_2": "SUITE #104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "818-787-6787",
            "fax_number": "818-787-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD",
            "address_2": "SUITE #104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "818-787-6787",
            "fax_number": "818-787-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHAI NICOLAE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "NICOLAE",
        "authorized_official_first_name": "MIHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-787-6787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B42688-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.