Organization Active NPI

Eddie Siman DDS Inc

  • General Practice Dentistry
  • Sherman Oaks, CA
National Provider Identifier
1184840720
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EDDIE SIMAN DDS INC
Doing business as
MILLENNIUM DENTAL
Practice address
14629 Ventura Blvd
Sherman Oaks, CA 91403-3617
Phone
(818) 784-6666
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Eddie Siman, DDS
Title
Owner
Phone
(818) 784-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14629 Ventura Blvd
Sherman Oaks, CA 91403-3617

Mailing address

14629 Ventura Blvd
Sherman Oaks, CA 91403-3617
Phone (818) 784-6666

Other names 1

  • MILLENNIUM DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

14629 Ventura Blvd
Sherman Oaks, CA 91403
Phone (818) 784-6666

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1184840720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033617",
            "telephone_number": "818-784-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033617",
            "telephone_number": "818-784-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE SIMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SIMAN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-784-6666",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "MILLENNIUM DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.