NPIMap

Organization Active NPI

Misner Professional Dental Corp

Doing business as Kids & Family Dental Place

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1407926132
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51044 Issued in CA
Legal business name
MISNER PROFESSIONAL DENTAL CORP
Doing business as
Kids & Family Dental Place
Kids Dental Place
Practice address
514 S Alvarado St
Los Angeles, CA 90057-2904
Phone
(213) 259-0606
NPI assigned
Nov 9, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dr. Rebecca Misner, DMDNPI 1851476089
Title
President
Phone
(719) 323-2362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51044 CA Primary

Addresses

Primary practice location

514 S Alvarado St
Los Angeles, CA 90057-2904

Mailing address

2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850

Other names 3

  • Kids & Family Dental Place Doing business as
  • Kids Dental Place Doing business as
  • Bayramyan Professional Dental Corp Former legal business name

National Provider Directory

National Provider Directory

Locations

514 S Alvarado St
Los Angeles, CA 90057
Phone (213) 259-0606

600 S Alvarado St
Ste 200
Los Angeles, CA 90057
Phone (213) 259-0606

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1407926132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572904",
            "telephone_number": "213-259-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISNER PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MISNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-323-2362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids & Family Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayramyan Professional Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.