Organization Active NPI

David Vaysleyb DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1194192229
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61841 Issued in CA
Legal business name
DAVID VAYSLEYB DDS
Practice address
10673 W Pico Blvd
Los Angeles, CA 90064-2221
Phone
(310) 474-1800
Fax
(310) 474-1883
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Daviv Vaysleyb, DDS
Title
Owner
Phone
(310) 474-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61841 CA Primary

Addresses

Primary practice location

10673 W Pico Blvd
Los Angeles, CA 90064-2221

Mailing address

10673 W Pico Blvd
Los Angeles, CA 90064-2221
Phone (310) 474-1800

National Provider Directory

National Provider Directory

Locations

10673 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 474-1800

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": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1194192229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10673 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642221",
            "telephone_number": "310-474-1800",
            "fax_number": "310-474-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10673 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642221",
            "telephone_number": "310-474-1800",
            "fax_number": "310-474-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID VAYSLEYB DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "VAYSLEYB",
        "authorized_official_first_name": "DAVIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-474-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.