NPIMap

Organization Active NPI

Dr. Jeannie Ann Molato D.M.D.

  • Dental Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1184801789
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
44948 Issued in CA
Legal business name
DR. JEANNIE ANN MOLATO D.M.D.
Practice address
7133 Sepulveda Blvd.
Van Nuys, CA 91405
Phone
(818) 988-8184
Fax
(818) 988-8727
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jeannie Ann Molato, DMDNPI 1821174129
Title
Owner/Dentist
Phone
(818) 988-8184

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48054 CA
Dental Clinic/Center 261QD0000X 44948 CA Primary

Addresses

Primary practice location

7133 Sepulveda Blvd.
Van Nuys, CA 91405

Mailing address

7133 Sepulveda Blvd.
Van Nuys, CA 91405
Phone (818) 988-8184

Other identifiers 3

IdentifierTypeStateIssuer
44948OtherCADENTAL LICENSE
B44948-O1OtherCADENTI-CAL
319275608OtherCAADA #

National Provider Directory

National Provider Directory

Locations

7133 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 988-8184

Practitioners & affiliated clinicians

Practitioners 2

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184801789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 SEPULVEDA BLVD.",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-988-8184",
            "fax_number": "818-988-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 SEPULVEDA BLVD.",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-988-8184",
            "fax_number": "818-988-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEANNIE ANN MOLATO D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOLATO",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-988-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48054",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "44948",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B44948-O1",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA #",
            "identifier": "319275608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.