NPIMap

Organization Active NPI

Dental Center of San Miguel

  • General Practice Dentistry
  • Panorama City, CA
National Provider Identifier
1093145237
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24875 Issued in CA
Legal business name
DENTAL CENTER OF SAN MIGUEL
Practice address
8781 Van Nuys Blvd
2ND FLR.
Panorama City, CA 91402-2401
Phone
(818) 892-2649
NPI assigned
Nov 26, 2013
Organization subpart
Yes
Parent organization
FREDERICK EDWIN STUARTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Dr. Frederick Edwin Stuart, D.D.S.
Title
Provider/Owner
Phone
(818) 892-2649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24875 CA Primary

Addresses

Primary practice location

8781 Van Nuys Blvd
2ND FLR.
Panorama City, CA 91402-2401

Mailing address

8781 Van Nuys Blvd
2ND FLR.
Panorama City, CA 91402-2401
Phone (818) 892-2649

National Provider Directory

National Provider Directory
Tax ID family
Fredrick Edwin Stuart DDS Inc2 organizations share this tax ID, including this one
Part of
Fredrick Edwin Stuart DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1093145237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "address_2": "2ND FLR.",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-892-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "address_2": "2ND FLR.",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-892-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF SAN MIGUEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK EDWIN STUART",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "818-892-2649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.