NPIMap

Organization Active NPI

Jelini Dental Corporation

  • Dental Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1598409245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JELINI DENTAL CORPORATION
Practice address
21632 Sherman Way
Canoga Park, CA 91303-1538
Phone
(818) 999-6979
Fax
(818) 999-5009
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Fatima Bala Jelini, DDSNPI 1275916348
Title
Ceo
Phone
(818) 999-6979

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 Primary

Addresses

Primary practice location

21632 Sherman Way
Canoga Park, CA 91303-1538

Mailing address

21632 Sherman Way
Canoga Park, CA 91303-1538
Phone (818) 999-6979

National Provider Directory

National Provider Directory

Locations

21632 Sherman Way
Canoga Park, CA 91303
Phone (818) 999-6979

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598409245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21632 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031538",
            "telephone_number": "818-999-6979",
            "fax_number": "818-999-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031538",
            "telephone_number": "818-999-6979",
            "fax_number": "818-999-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELINI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JELINI",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "BALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-999-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.