NPIMap

Organization Active NPI

Minye Center for Reconstructive Dentistry & Oral Surgery, PC

  • Dentist
  • Tarzana, CA
National Provider Identifier
1598350100
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MINYE CENTER FOR RECONSTRUCTIVE DENTISTRY & ORAL SURGERY, PC
Practice address
18981 Ventura Blvd
2ND Floor, Suite 200
Tarzana, CA 91356
Phone
(818) 312-5819
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. Helena Malous Minye, DDS, MHCMNPI 1134363286
Title
Chief Dental Officer
Phone
(818) 312-5819

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

18981 Ventura Blvd
2ND Floor, Suite 200
Tarzana, CA 91356

Mailing address

25 Highland Park Village
BLDG 100 Ste171
Dallas, TX 75205

Other names 1

  • Center for Reconstructive Dentistry & Oral Surgery, PC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NotApplicable

National Provider Directory

National Provider Directory

Locations

18981 Ventura Blvd
Ste 200
Tarzana, CA 91356
Phone (818) 654-7100

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": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1598350100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VILLAGE",
            "address_2": "BLDG 100 STE171",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18981 VENTURA BLVD",
            "address_2": "2ND FLOOR, SUITE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-312-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYE CENTER FOR RECONSTRUCTIVE DENTISTRY & ORAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "MINYE",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "MALOUS",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "818-312-5819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MHCM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NotApplicable",
            "affiliation": "N",
            "address_1": "18981 Ventura Blvd",
            "address_2": "2nd Floor, Suite 200",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Reconstructive Dentistry & Oral Surgery, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.