Active NPI
Robert N. Tom, DDS
- Dentist
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS55394
- Practice address
- 10436 Sepulveda Blvd
Mission Hills, CA 91345-2424 - Phone
- (818) 830-2828
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS55394 | CA | Primary |
Addresses
Primary practice location
10436 Sepulveda Blvd
Mission Hills, CA 91345-2424
Mailing address
2034 E Lincoln Ave # 252
Anaheim, CA 92806-4101
Phone (714) 393-1120
Other practice location 1
8982 Washington Blvd
Pico Rivera, CA 90660-3765
Phone (562) 222-1551
Other practice location 2
12156 Lakewood Blvd
Downey, CA 90242-2658
Phone (562) 803-1600
Other practice location 3
4428 Slauson Ave
Maywood, CA 90270-2932
Phone (323) 773-1535
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 |
|---|---|---|---|
| DDS55394 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shant Terteryan DDS Inc | Current | Accepting new patients | |
| J. Whitley Dental Corporation | Past | Accepting new patients |
Locations
10436 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 830-2828
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Blvd & Orthodontics
- General Practice Dentistry
- Mission Hills, CA
- NPI 1649984865
-
- General Practice Dentistry
- Downey, CA
- NPI 1013218106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1093970303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2034 E LINCOLN AVE # 252",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928064101",
"telephone_number": "714-393-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10436 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452424",
"telephone_number": "818-830-2828"
}
],
"practiceLocations": [
{
"address_1": "8982 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Pico Rivera",
"state": "CA",
"postal_code": "906603765",
"country_code": "US",
"telephone_number": "562-222-1551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12156 Lakewood Blvd",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422658",
"country_code": "US",
"telephone_number": "562-803-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4428 Slauson Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "CA",
"postal_code": "902702932",
"country_code": "US",
"telephone_number": "323-773-1535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOM",
"first_name": "ROBERT",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2024-05-29",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS55394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.