Lani Norine Tittle

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108766 Issued in CA

Practice address

12211 W Pico Blvd
Los Angeles, CA 90064-1134

Phone

(310) 826-6123

NPI assigned

Mar 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kawata Dental Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1164679809

  Single Specialty

  NPD (past)
• Santa Barbara Neighborhood Clinics

  dba Eastside Neighborhood Clinic

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1063438232
  NPD (past)
• Santa Barbara Neighborhood Clinics

  dba Eastside Family Dental Clinic

  • Dental Clinic/Center
  • Santa Barbara, CA
  • NPI 1972636835
  NPD (past)

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1376290726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 LINCOLN BLVD APT 1",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035228",
            "telephone_number": "925-822-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641134",
            "telephone_number": "310-826-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5220 Pacific Concourse Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900456277",
            "country_code": "US",
            "telephone_number": "800-373-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITTLE",
        "first_name": "LANI",
        "middle_name": "NORINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tison Dental Corporation, Inc.
• Agnes C Tison, DDS
• Titan Ambulatory Surgery Center
• Titanium Healthcare, LLC (Titanium Extra Clinic)
• Armen Titizyan, NP
• Mason David Tittle
• Roxanne Tittle
• Tanya Titus
• Justin Wayne Wong Tiulim, M.D.
• Gurpreet Kaur Tiwana

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.