Organization Active NPI

Heritage Oral Surgery and Implant Centers

Doing business as Heritage Oral Surgery & Implant Centers - West Valley

  • Oral and Maxillofacial Surgery (Dentist)
  • Canoga Park, CA
National Provider Identifier
1366346173
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Doing business as
Heritage Oral Surgery & Implant Centers - West Valley
Practice address
22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136
Phone
(818) 703-8200
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE ORAL SURGERY AND IMPLANT CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X

Addresses

Primary practice location

22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136

Mailing address

22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136
Phone (818) 703-8200

Other names 1

  • Heritage Oral Surgery & Implant Centers - West Valley Doing business as

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1366346173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22142 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031136",
            "telephone_number": "818-703-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22142 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031136",
            "telephone_number": "818-703-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ORAL SURGERY AND IMPLANT CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE ORAL SURGERY AND IMPLANT CENTERS",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oral Surgery & Implant Centers - West Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.