Organization Active NPI

Clove Dental Encino

  • Dental Clinic/Center
  • Encino, CA
National Provider Identifier
1457172918
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLOVE DENTAL ENCINO
Practice address
16542 Ventura Blvd Ste 505
Encino, CA 91436-4576
Phone
(818) 907-6736
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Anish Puri
Title
Owner
Phone
(805) 229-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 505
Encino, CA 91436-4576

Mailing address

1091 Corte Barroso
Camarillo, CA 93010-7438
Phone (805) 229-1252

National Provider Directory

National Provider Directory
Tax ID family
Anish Puri DDS Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1457172918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 CORTE BARROSO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107438",
            "telephone_number": "805-229-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 505",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364576",
            "telephone_number": "818-907-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVE DENTAL ENCINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-229-1252"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.