Organization Active NPI

Alexi Kossi, Professional Dental Corporation

Doing business as Smile City Dental

  • General Practice Dentistry
  • Valencia, CA
National Provider Identifier
1386751097
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42659 Issued in CA
Legal business name
ALEXI KOSSI, PROFESSIONAL DENTAL CORPORATION
Doing business as
Smile City Dental
Practice address
23884 Copper Hill Dr
Valencia, CA 91354-1701
Phone
(661) 702-9595
Fax
(661) 702-9919
NPI assigned
Aug 25, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mrs. Alisara Sarah Swinford
Title
Office Manager
Phone
(661) 702-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42659 CA Primary

Addresses

Primary practice location

23884 Copper Hill Dr
Valencia, CA 91354-1701

Mailing address

23884 Copper Hill Dr
Valencia, CA 91354-1701
Phone (661) 702-9595

Other names 1

  • Smile City Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1386751097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23884 COPPER HILL DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "661-702-9595",
            "fax_number": "661-702-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23884 COPPER HILL DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "661-702-9595",
            "fax_number": "661-702-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXI KOSSI, PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SWINFORD",
        "authorized_official_first_name": "ALISARA",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-702-9595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.