Organization Active NPI

David Abdelmalak, DDS, Inc

  • Endodontics
  • Glendale, CA
National Provider Identifier
1306365044
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
101367 Issued in CA
Legal business name
DAVID ABDELMALAK, DDS, INC
Practice address
1023 N Brand Blvd
Glendale, CA 91202-2906
Phone
(818) 242-8955
Fax
(818) 242-8995
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Abdelmalak, DDSNPI 1497156889
Title
President
Phone
(818) 242-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 101367 CA Primary

Addresses

Primary practice location

1023 N Brand Blvd
Glendale, CA 91202-2906

Mailing address

1023 N Brand Blvd
Glendale, CA 91202-2906
Phone (818) 242-8955

National Provider Directory

National Provider Directory

Locations

1023 N Brand Blvd
Glendale, CA 91202
Phone (818) 242-8955

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306365044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022906",
            "telephone_number": "818-242-8955",
            "fax_number": "818-242-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022906",
            "telephone_number": "818-242-8955",
            "fax_number": "818-242-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ABDELMALAK, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDELMALAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "101367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.