NPIMap

Organization Active NPI

Alfred Aidie DMD, Inc.

  • Dentist
  • Glendale, CA
National Provider Identifier
1336526060
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44811 Issued in CA
Legal business name
ALFRED AIDIE DMD, INC.
Practice address
1219 N Pacific Ave
Glendale, CA 91202-1619
Phone
(818) 242-1000
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Alfred AidieNPI 1679615264
Title
DMD
Phone
(818) 243-1000

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
Dentist 122300000X 44811 CA Primary

Addresses

Primary practice location

1219 N Pacific Ave
Glendale, CA 91202-1619

Mailing address

1219 N Pacific Ave
Glendale, CA 91202-1619
Phone (818) 242-1000

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": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1336526060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021619",
            "telephone_number": "818-242-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021619",
            "telephone_number": "818-242-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED AIDIE DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "AIDIE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "818-243-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44811",
            "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 May 1, 2015; 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.