NPIMap

Organization Active NPI

Dinasty Dental

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1275733925
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B26405 Issued in CA
Legal business name
DINASTY DENTAL
Practice address
7942 Van Nuys Blvd
Van Nuys, CA 91402-6084
Phone
(818) 904-0057
Fax
(818) 904-6730
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Leonid Glosman, DDS
Title
Owner
Phone
(323) 266-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X B26405 CA Primary

Addresses

Primary practice location

7942 Van Nuys Blvd
Van Nuys, CA 91402-6084

Mailing address

7942 Van Nuys Blvd
Van Nuys, CA 91402-6084
Phone (818) 904-0057

National Provider Directory

National Provider Directory
Tax ID family
Dentalville4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7942 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 904-0057

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1275733925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7942 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914026084",
            "telephone_number": "818-904-0057",
            "fax_number": "818-904-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7942 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914026084",
            "telephone_number": "818-904-0057",
            "fax_number": "818-904-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINASTY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "GLOSMAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-266-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B26405",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2007; 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.