Elena Rumack, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

50100 Issued in CA

Practice address

23695 Calabasas Rd
Calabasas, CA 91302-1502

Phone

(818) 222-4543

Fax

(818) 591-7599

NPI assigned

Apr 9, 2007

Last updated

Jun 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elena Siu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roger L. Garrett, D.D.S., a Professional Corporation

  dba Calabasas Dental Care

  • General Practice Dentistry
  • Calabasas, CA
  • NPI 1548666381
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1518080118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD",
            "address_2": "SUITE # 983",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-222-4543",
            "fax_number": "818-591-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 CALABASAS RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-222-4543",
            "fax_number": "818-591-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMACK",
        "first_name": "ELENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "SIU",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moreen Rubin, MA, LMFT, PSYD
• Yajaira Lisset Rubio, BCBA
• Viveka Sarah Rucker, L.AC.
• Lisa Rudolph Wolf, PSY.D.
• Carlos Ignacio Ruiz
• Milad Sabouri, DO
• Masih Sadeghi, M.D.
• Safesite LLC
• Ronald Dean Sager, M.D.
• Noushin Saghizadeh, PHARM. D.

• Dentist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.