Peter C Nissler DDS a Dental Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

19789 Issued in CA

Legal business name

PETER C NISSLER DDS A DENTAL CORP

Practice address

5400 Balboa Blvd Ste 229
Encino, CA 91316-5213

Phone

(818) 981-7375

Fax

(818) 995-8274

NPI assigned

Mar 4, 2015

Last updated

Jun 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Christian Nissler, DDSNPI 1346454550

Title

Owner/Dentist

Phone

(818) 981-7375

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, and the practitioner matching its NPPES authorized official.

• Peter C Nissler, DDS

  • General Practice Dentistry
  • Encino, CA
  • NPI 1346454550
  Authorized official Same address or phone
• Linda Y Makuta, DDS

  • Dentist
  • Chatsworth, CA
  • NPI 1548479066
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1417349143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 229",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165213",
            "telephone_number": "818-981-7375",
            "fax_number": "818-995-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 229",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165213",
            "telephone_number": "818-981-7375",
            "fax_number": "818-995-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C NISSLER DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "NISSLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-981-7375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "19789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Earl Perry, PH.D.
• Michele M Perry, M.A.
• Michael A Persky, M.D., F.A.C.S.
• Personal Touch Hospice Care Inc
• Laura Flicker Pescione, PH.D
• Peter R. Shrier, M.D.
• Glenn Allen Peters, PHD
• Timothy Allen Petersen, PSY.D.
• Kenneth P Peterson, MD
• Stephanie Marie Pettigrew

• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

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