Jeffrey Proniloff, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY PRONILOFF, DDS, INC

Practice address

1960 Sequoia Ave Ste 1
Simi Valley, CA 93063-3176

Phone

(805) 584-3999

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Proniloff, DDSNPI 1457875452

Title

Owner

Phone

(818) 437-5060

Specialties & licenses 1

Addresses

Other names 1

• Sequoia Dentistry Doing business as

Locations

Practitioners 2

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

• Jeffrey Proniloff, DDS

  • General Practice Dentistry
  • Encino, CA
  • NPI 1457875452
  NPD Authorized official
• Vikram Mishra, D.D.S

  • Dentist
  • Chatsworth, CA
  • NPI 1306934328

  General Practice

  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1558081430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 COLDWATER CANYON AVE APT 4",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041470",
            "telephone_number": "818-437-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SEQUOIA AVE STE 1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633176",
            "telephone_number": "805-584-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY PRONILOFF, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "PRONILOFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-437-5060",
        "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": "Sequoia Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JC Health Care Services, Inc.
• JC Health Care Services, Inc.
• JD Residential Care, LLC
• Kimberly M Jefferson
• Jeffrey Cohen, O.D., Inc.
• Laura Marie Jen Kin, DDS
• Cherylyn Jensen
• Rachael Jerahian
• Jerold T. Litoff, M.D. a Professional Corp.
• Angela Rose Jeske, LVN

• General Practice Dentistry in Simi Valley, CA
• Providers in Simi Valley, 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 Aug 31, 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.