Organization Active NPI

Dental Image Solutions Corp

  • Durable Medical Equipment & Medical Supplies
  • Encino, CA
National Provider Identifier
1083853600
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100-926110 Issued in CA
Legal business name
DENTAL IMAGE SOLUTIONS CORP
Practice address
16661 Ventura Blvd Ste 620
Encino, CA 91436-4812
Phone
(818) 789-9008
Fax
(818) 501-1368
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Mr. Daniel TebbiNPI 1962522151
Title
Owner
Phone
(818) 789-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100-926110 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 620
Encino, CA 91436-4812

Mailing address

16661 Ventura Blvd Ste 620
Encino, CA 91436-4812
Phone (818) 789-9008

Other names 1

  • den-med-pro.com Doing business as

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 620
Encino, CA 91436
Phone (818) 789-2034

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": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1083853600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364812",
            "telephone_number": "818-789-9008",
            "fax_number": "818-501-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364812",
            "telephone_number": "818-789-9008",
            "fax_number": "818-501-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMAGE SOLUTIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "TEBBI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-789-9008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100-926110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "den-med-pro.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.