Elite Gum Care Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELITE GUM CARE INC

Practice address

3751 Winford Dr
Tarzana, CA 91356-5810

Phone

(310) 409-3071

NPI assigned

Aug 19, 2026

Organization subpart

No

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

Authorized official

Name

Jerry Siderman, DDS

Title

Owner

Phone

(310) 409-3071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1154237337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 WINFORD DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565810",
            "telephone_number": "310-409-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 WINFORD DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565810",
            "telephone_number": "310-409-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GUM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SIDERMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-409-3071",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Elias, M.D.
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• Melissa Lilian Elist
• Michael Elist
• Elit Home Health Care, Inc.
• Elite Med Skilled Services
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• Amgad R. Elsibai, M.D.
• Elysa R Kahan DMD PC
• Michael Elyson, D.D.S.

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.