Elysa R Kahan DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

63683 Issued in CA

Legal business name

ELYSA R KAHAN DMD PC

Practice address

18372 Clark St Ste 201
Tarzana, CA 91356-3550

Phone

(818) 996-5100

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Edward Kahan, M.D.

Title

Officer

Phone

(310) 728-9581

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elysa Rachel Kahan, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tarzana, CA
  • NPI 1245518810
  NPD (past)
• Alan J. Licht, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tarzana, CA
  • NPI 1740456250
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1376947200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563550",
            "telephone_number": "818-996-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563550",
            "telephone_number": "818-996-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSA R KAHAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-728-9581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.