Organization Active NPI

Me Dental Spa

  • Dental Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1558014639
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ME DENTAL SPA
Practice address
9201 W Sunset Blvd Ste 212
West Hollywood, CA 90069-3703
Phone
(423) 314-7497
NPI assigned
Jan 30, 2022
Last updated
Jan 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Dr. Denis Mustedanagic, DMDNPI 1871155812
Title
Owner Doctor
Phone
(423) 314-7497

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 212
West Hollywood, CA 90069-3703

Mailing address

718 N Croft Ave Apt 303
Los Angeles, CA 90069-5350
Phone (423) 314-7497

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": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1558014639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N CROFT AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900695350",
            "telephone_number": "423-314-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 212",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693703",
            "telephone_number": "423-314-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "MUSTEDANAGIC",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "423-314-7497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

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