Active NPI
Elizabeth May Estrada, D.D.S.
- General Practice Dentistry
- Canoga Park, CA
National Provider Identifier
1215117304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56272
- Practice address
- 7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333 - Phone
- (747) 444-9090
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56272 | CA | Primary |
Addresses
Primary practice location
7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333
Mailing address
7300 Topanga Canyon Blvd Ste 6
Canoga Park, CA 91303-3333
Phone (747) 444-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56272 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth M Estrada DDS PC | Current | Accepting new patients | |
| Melinda P. Gordon D.M.D. a Dental Corporation | Past | Accepting new patients |
Locations
7300 Topanga Canyon Blvd
Ste 6
Canoga Park, CA 91303
Phone (747) 444-9090
Interoperability endpoints
- eestrada@direct.westerndental.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Canoga Park, CA
- NPI 1104599091
-
- Dentist
- Lake Balboa, CA
- NPI 1053405118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1215117304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 TOPANGA CANYON BLVD STE 6",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033333",
"telephone_number": "747-444-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 TOPANGA CANYON BLVD STE 6",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033333",
"telephone_number": "747-444-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ELIZABETH",
"middle_name": "MAY",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.