NPIMap

Organization Active NPI

Gankin Mikhail DMD, a Dental Corp

  • Dental Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1326209008
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53214 Issued in CA
Legal business name
GANKIN MIKHAIL DMD, A DENTAL CORP
Practice address
7901 Santa Monica Blvd # 111
West Hollywood, CA 90046-5177
Phone
(323) 822-1222
NPI assigned
Jun 24, 2008
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Mikhail Gankin, DMDNPI 1114112935
Title
Owner
Phone
(323) 868-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53214 CA Primary

Addresses

Primary practice location

7901 Santa Monica Blvd # 111
West Hollywood, CA 90046-5177

Mailing address

PO Box 461459
Los Angeles, CA 90046-9459
Phone (323) 868-6670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1326209008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461459",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900469459",
            "telephone_number": "323-868-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD # 111",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "323-822-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANKIN MIKHAIL DMD, A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "GANKIN",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-868-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.