Organization Active NPI

Arkady S. Tsibel Dental Corp

Doing business as Walnut Hill Dental

  • Dental Clinic/Center
  • Pasadena, CA
National Provider Identifier
1417502592
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARKADY S. TSIBEL DENTAL CORP
Doing business as
Walnut Hill Dental
Practice address
181 N Hill Ave
Pasadena, CA 91106-1955
Phone
(626) 796-0313
Fax
(626) 239-3361
NPI assigned
Aug 6, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Arkady Tsibel
Title
President
Phone
(626) 796-0313

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU
Periodontics 1223P0300X NU
Prosthodontics 1223P0700X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

181 N Hill Ave
Pasadena, CA 91106-1955

Mailing address

181 N Hill Ave
Pasadena, CA 91106-1955
Phone (626) 796-0313

Other names 1

  • Walnut Hill Dental Doing business as

National Provider Directory

National Provider Directory

Locations

181 N Hill Ave
Pasadena, CA 91106
Phone (626) 796-0313

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1417502592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061955",
            "telephone_number": "626-796-0313",
            "fax_number": "626-239-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061955",
            "telephone_number": "626-796-0313",
            "fax_number": "626-239-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKADY S. TSIBEL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "TSIBEL",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-796-0313"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.