MK Raymond Dental Corporation PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MK RAYMOND DENTAL CORPORATION PC

Practice address

20523 Devonshire St
Chatsworth, CA 91311-3208

Phone

(818) 773-0911

Fax

(818) 773-9720

NPI assigned

Mar 3, 2021

Organization subpart

Yes

Parent organization

MK RAYMOND DENTAL CORPORATION PCAs reported in NPPES

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

Authorized official

Name

M Kyle Raymond

Title

Owner

Phone

(512) 426-2885

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

MK Raymond Dental Corporation PC2 organizations share this tax ID, including this one

Part of

MK Raymond Dental Corporation PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MK Raymond Dental Corporation PC

  • Pediatric Dentistry
  • Bakersfield, CA
  • NPI 1861095226
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• MK Raymond Dental Corporation PC

  • Pediatric Dentistry
  • Bakersfield, CA
  • NPI 1861095226
  NPPES parent name

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1184219909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20523 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113208",
            "telephone_number": "818-773-0911",
            "fax_number": "818-773-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20523 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113208",
            "telephone_number": "818-773-0911",
            "fax_number": "818-773-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK RAYMOND DENTAL CORPORATION PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MK RAYMOND DENTAL CORPORATION PC",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-426-2885"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "105526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Josephine Michail, LAC
• Robert Minoofar, D.D.S.
• Neda Mary Mirgoli
• Naaz Mirreghabie
• Vikram Mishra, D.D.S
• Mobile Physician RX PC
• Mahnaz Moeinazad, PPS - CWA
• Momentum Agencies
• Momentum Agencies
• Momentum Agencies

• Pediatric Dentistry in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.