Jessica a Lizana DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

55326 Issued in CA

Legal business name

JESSICA A LIZANA DDS, INC

Doing business as

Smile Design Studio

Practice address

19524 Nordhoff St Ste 3B
Northridge, CA 91324-2430

Phone

(818) 477-3539

Fax

(818) 477-3540

NPI assigned

May 28, 2015

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Ana Lizana, DDS

Title

General Dentist

Phone

(818) 477-3539

Specialties & licenses 1

Addresses

Other names 1

• Smile Design Studio Doing business as

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1194104778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19524 NORDHOFF ST STE 3B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242430",
            "telephone_number": "818-477-3539",
            "fax_number": "818-477-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19524 NORDHOFF ST STE 3B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242430",
            "telephone_number": "818-477-3539",
            "fax_number": "818-477-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A LIZANA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "LIZANA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "818-477-3539",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Northridge, CA
• Providers in Northridge, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.