Organization Active NPI

Michelle M Kelman DDS PC

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1326674607
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MICHELLE M KELMAN DDS PC
Practice address
8635 W 3Rd St Ste 255W
Los Angeles, CA 90048-6113
Phone
(818) 599-0000
Fax
(310) 659-9185
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michelle M Kelman, DDS
Title
Owner
Phone
(818) 599-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 255W
Los Angeles, CA 90048-6113

Mailing address

8635 W 3Rd St Ste 255W
Los Angeles, CA 90048-6113
Phone (818) 599-0000

National Provider Directory

National Provider Directory

Locations

8635 W 3rd St
Ste 255W
Los Angeles, CA 90048
Phone (310) 659-8863

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1326674607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 255W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486113",
            "telephone_number": "818-599-0000",
            "fax_number": "310-659-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 255W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486113",
            "telephone_number": "818-599-0000",
            "fax_number": "310-659-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M KELMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-599-0000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.