Organization Active NPI

Matt Zarinnia, D.M.D. , a Professional Dental Corp.

Doing business as Encino Cosmetic Dental Group

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1518130616
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55400 Issued in CA
Legal business name
MATT ZARINNIA, D.M.D. , A PROFESSIONAL DENTAL CORP.
Doing business as
Encino Cosmetic Dental Group
Practice address
16133 Ventura Blvd
Suit 1100
Encino, CA 91436-2403
Phone
(310) 867-0636
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Matt Zarinnia, D.M.D.NPI 1699837823
Title
Ceo
Phone
(310) 867-0636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55400 CA Primary

Addresses

Primary practice location

16133 Ventura Blvd
Suit 1100
Encino, CA 91436-2403

Mailing address

16133 Ventura Blvd
Suit 1100
Encino, CA 91436-2403
Phone (310) 867-0636

Other names 1

  • Encino Cosmetic Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

16133 Ventura Blvd
Ste 1100
Encino, CA 91436
Phone (310) 867-0636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1518130616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUIT 1100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "310-867-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUIT 1100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "310-867-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT ZARINNIA, D.M.D. , A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "ZARINNIA",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-867-0636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Cosmetic Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 9, 2008; 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.