Melissa Diane Dori, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

48597 Issued in CA

Practice address

21031 Ventura Blvd
Suite 101
Woodland Hills, CA 91364-2203

Phone

(818) 346-2000

Fax

(818) 346-2004

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dori & Dori, a Dental Company

  • Dental Clinic/Center
  • Woodland Hills, CA
  • NPI 1811267875
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1285728089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-346-2000",
            "fax_number": "818-346-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-346-2000",
            "fax_number": "818-346-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORI",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48597",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen T. Dor, MD
• Gyselle Dorado
• Gloria Grace Dorame
• Dori & Dori, a Dental Company
• Alon Dori, D.D.S.
• Tadarius Doricent
• Dorina Popescu DDS Inc
• Haley Dorris
• Shawn Marie Dorsey
• Serena Doss

• Endodontics in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.