Mona Derentz D.D.S., Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MONA DERENTZ D.D.S., INC

Practice address

19100 Ventura Blvd Ste 3
Tarzana, CA 91356-3234

Phone

(818) 925-2599

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Mona Derentz, DDS, MSDNPI 1609393438

Title

Owner, Orthodontist

Phone

(805) 630-4541

Specialties & licenses 2

Addresses

Other names 1

• The Smile Specialists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Derentz, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bingham Farms, MI
  • NPI 1609393438
  NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1508528142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE 3",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563234",
            "telephone_number": "818-925-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE 3",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563234",
            "telephone_number": "818-925-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA DERENTZ D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "DERENTZ",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER, ORTHODONTIST",
        "authorized_official_telephone_number": "805-630-4541",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohsen Tanbakoochi Moghaddam, M.D.
• Mohammad Abuzaineh MD Inc a Professional Corporation
• Jasmine Molett, BEHAVIORAL THERAPIST
• Jennifer Molina
• Sevim Mollova, BCBA
• Hope Marie Moncada, L.C.S.W.
• Christopher Monda
• Kimberly Yatzin Monge Estrada
• Monica Moussanejad DDS Inc
• Maria Otilia Monroe-Brady

• Orthodontics and Dentofacial Orthopedics Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.