Organization Active NPI

Vikram Mishra,DDS.,DC

  • General Practice Dentistry
  • Chatsworth, CA
National Provider Identifier
1083734628
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIKRAM MISHRA,DDS.,DC
Practice address
21800 Devonshire St
Chatsworth, CA 91311-2905
Phone
(818) 709-1200
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Dr. Vikram Mishra, DDS
Title
Dentist
Phone
(818) 709-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21800 Devonshire St
Chatsworth, CA 91311-2905

Mailing address

21800 Devonshire St
Chatsworth, CA 91311-2905
Phone (818) 709-1200

Other names 1

  • Chatsworth Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

21800 Devonshire St
Chatsworth, CA 91311
Phone (818) 709-1200

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1083734628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112905",
            "telephone_number": "818-709-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112905",
            "telephone_number": "818-709-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKRAM MISHRA,DDS.,DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-709-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatsworth Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chatsworth Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.