Thousand Oaks Childrens Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

036029 Issued in CA

Legal business name

THOUSAND OAKS CHILDRENS DENTAL GROUP

Practice address

61 Long CT
Suite 202
Thousand Oaks, CA 91360

Phone

(805) 497-3797

Fax

(805) 371-1121

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ahsan S Raza, D.D.S.

Title

Owner/Partner

Phone

(805) 497-3797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunha Cho, D.D.S.

  • Pediatric Dentistry
  • Thousand Oaks, CA
  • NPI 1982750840
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1124140751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LONG CT",
            "address_2": "SUITE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-497-3797",
            "fax_number": "805-371-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LONG CT",
            "address_2": "SUITE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-497-3797",
            "fax_number": "805-371-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND OAKS CHILDRENS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "805-497-3797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "036029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R. Anderson Inc
• Thomas Van Geem M.D. Medical
• Lori Ann Thomas-Shaw, PH.D.
• Darlene Thomas, EDD., NBHWC
• Jay James Thompson, DC
• Thousand Oaks Diagnostic Imaging Center
• Thousand Oaks Diagnostic Imaging Center
• Thousand Oaks Diagnostic Imaging Center
• Thousand Oaks Endoscopy Center, LLC
• Thousand Oaks Family Optometry

• Pediatric Dentistry in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.