Organization Active NPI

Yolanda E. Cortez DDS Ins

  • Dentist
  • Valley Village, CA
National Provider Identifier
1396190443
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56546 Issued in CA
Legal business name
YOLANDA E. CORTEZ DDS INS
Practice address
5451 Laurel Canyon Blvd
102
Valley Village, CA 91607-2180
Phone
(818) 761-7109
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Yolanda E Cortez, DDS
Title
Dentist Provider
Phone
(818) 761-7109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56546 CA Primary

Addresses

Primary practice location

5451 Laurel Canyon Blvd
102
Valley Village, CA 91607-2180

Mailing address

5451 Laurel Canyon Blvd
102
Valley Villege, CA 91607
Phone (818) 761-7109

Other identifiers 1

IdentifierTypeStateIssuer
56546OtherCADENTIST

Other names 1

  • International Dental Estudio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Herbert Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5451 Laurel Canyon Blvd
#102
Valley Village, CA 91607
Phone (818) 761-7109

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1396190443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LAUREL CANYON BLVD",
            "address_2": "102",
            "city": "VALLEY VILLEGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-761-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LAUREL CANYON BLVD",
            "address_2": "102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072180",
            "telephone_number": "818-761-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA E. CORTEZ DDS INS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST PROVIDER",
        "authorized_official_telephone_number": "818-761-7109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "56546",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Dental Estudio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.