NPIMap

Organization Active NPI

Masood Imanuel DMD a Dental Corporation

Doing business as United Family Dental Group

  • Dentist
  • Arleta, CA
National Provider Identifier
1467531889
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39418 Issued in CA
Legal business name
MASOOD IMANUEL DMD A DENTAL CORPORATION
Doing business as
United Family Dental Group
Practice address
14150 Van Nuys Blvd
Suite 105
Arleta, CA 91331-5114
Phone
(818) 899-9999
Fax
(818) 897-0859
NPI assigned
Nov 5, 2006
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Dr. Simon Masood Imanuel, DMDNPI 1659573335
Title
President
Phone
(818) 899-9999

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 39418 CA Primary

Addresses

Primary practice location

14150 Van Nuys Blvd
Suite 105
Arleta, CA 91331-5114

Mailing address

14150 Van Nuys Blvd
Suite 105
Arleta, CA 91331-5114
Phone (818) 899-9999

Other identifiers 1

IdentifierTypeStateIssuer
G9123601MedicaidCA

Other names 1

  • United Family Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1467531889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 VAN NUYS BLVD",
            "address_2": "SUITE 105",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913315114",
            "telephone_number": "818-899-9999",
            "fax_number": "818-897-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 VAN NUYS BLVD",
            "address_2": "SUITE 105",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913315114",
            "telephone_number": "818-899-9999",
            "fax_number": "818-897-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOOD IMANUEL DMD A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "IMANUEL",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "MASOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-899-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9123601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.