Organization Active NPI

Elizabeth M Estrada DDS PC

  • Dental Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1104599091
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELIZABETH M ESTRADA DDS PC
Practice address
7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333
Phone
(747) 444-9090
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Elizabeth Estrada, DDSNPI 1215117304
Title
Ceo
Phone
(747) 444-9090

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333

Mailing address

7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333
Phone (747) 444-9090

National Provider Directory

National Provider Directory

Locations

7300 Topanga Canyon Blvd
Ste 6
Canoga Park, CA 91303
Phone (747) 444-9090

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1104599091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 TOPANGA CANYON BLVD STE 6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033333",
            "telephone_number": "747-444-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 TOPANGA CANYON BLVD STE 6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033333",
            "telephone_number": "747-444-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M ESTRADA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-444-9090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.