Ephram Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EPHRAM DENTAL CORP

Practice address

12156 Riverside Dr
Valley Village, CA 91607-3829

Phone

(818) 509-3055

Fax

(818) 763-6159

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Darien Ephram, DDSNPI 1154636520

Title

Owner

Phone

(818) 509-3055

Specialties & licenses 1

Addresses

Other names 1

• Laurel Canyon Dental, Darien Ephram DDS Doing business as

Practitioners 2

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

• Darien Ephram, DDS

  • General Practice Dentistry
  • Tarzana, CA
  • NPI 1154636520
  NPD Authorized official
• Gregory W. Holve, D.D.S.

  • General Practice Dentistry
  • Valley Village, CA
  • NPI 1891881835
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1538872015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12156 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073829",
            "telephone_number": "818-509-3055",
            "fax_number": "818-763-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12156 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073829",
            "telephone_number": "818-509-3055",
            "fax_number": "818-763-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "EPHRAM",
        "authorized_official_first_name": "DARIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-509-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Canyon Dental, Darien Ephram DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Veronica Erzeroumian, M.A.
• Gabriella Yvonne Esquilin

• General Practice Dentistry in Valley Village, CA
• Providers in Valley Village, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.