Aleksei Dolgov DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALEKSEI DOLGOV DDS INC

Practice address

11200 Corbin Ave Ste 208
Porter Ranch, CA 91326-4120

Phone

(614) 309-1050

Fax

(818) 368-8544

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Aleksei Dolgov, DDSNPI 1902243454

Title

Owner

Phone

(818) 368-8522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Porter Ranch Dental Studio Doing business as

Locations

Practitioners 4

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

• Aleksei Dolgov

  • General Practice Dentistry
  • Porter Ranch, CA
  • NPI 1902243454
  NPD Authorized official
• Thu Anh Hoang, DMD

  • General Practice Dentistry
  • Porter Ranch, CA
  • NPI 1316514565
  NPD
• Bang Tai Phan, D.D.S.

  • General Practice Dentistry
  • Porter Ranch, CA
  • NPI 1851438154
  NPD (past)
• The Tai Phan, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Porter Ranch, CA
  • NPI 1407186562
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1134828148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 CORBIN AVE STE 208",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264120",
            "telephone_number": "614-309-1050",
            "fax_number": "818-368-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 CORBIN AVE STE 208",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264120",
            "telephone_number": "614-309-1050",
            "fax_number": "818-368-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSEI DOLGOV DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DOLGOV",
        "authorized_official_first_name": "ALEKSEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-368-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1316514565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Ranch Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikia Aivaze
• Shahrzad Akbary, D.O.
• Juan M Alcantar, MD
• Alicia Alcantara, RN
• Adriana Alejandra Alejandre, M.A., LMFT
• Arin Alexander, D.M.D
• Ann Aliola
• Lilian Allahverdian, PHARM.D.
• Kinda Alskaf
• Ana Alvarado-Leavitt, RN

• All providers in Porter Ranch, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.