Organization Active NPI

Kamal Matian DDS Inc.

  • Dentist
  • Reseda, CA
National Provider Identifier
1407211618
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30585 Issued in CA
Legal business name
KAMAL MATIAN DDS INC.
Practice address
18701 Sherman Way
Suite 1
Reseda, CA 91335-4045
Phone
(818) 708-7000
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Mrs. Irene Dianaty
Title
Dental Biller
Phone
(818) 708-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30585 CA Primary

Addresses

Primary practice location

18701 Sherman Way
Suite 1
Reseda, CA 91335-4045

Mailing address

18701 Sherman Way
Suite 1
Reseda, CA 91335-4045
Phone (818) 708-7000

National Provider Directory

National Provider Directory

Locations

18701 Sherman Way
Ste 1
Reseda, CA 91335
Phone (818) 708-7000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1407211618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 SHERMAN WAY",
            "address_2": "SUITE 1",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354045",
            "telephone_number": "818-708-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 SHERMAN WAY",
            "address_2": "SUITE 1",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354045",
            "telephone_number": "818-708-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL MATIAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "DIANATY",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "DENTAL BILLER",
        "authorized_official_telephone_number": "818-708-1060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "30585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.