Bobby Stankov Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45528 Issued in CA

Legal business name

BOBBY STANKOV DENTAL CORPORATION

Practice address

6325 Topanga Canyon Blvd
Suite 231
Woodland Hills, CA 91367-2006

Phone

(818) 226-0056

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Bobby S Stankov, M

Title

Owner

Phone

(818) 226-0056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1609068469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 231",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-226-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 231",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-226-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY STANKOV DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "STANKOV",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-226-0056",
        "authorized_official_credential": "M"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93526-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom Wellness Center Inc
• Blue Star Home Health Inc
• Kinsey Blue
• Michael Blumenfield, MD
• Brynne Blumstein, MS, BCBA
• Marianne Boco
• Wesley Bode
• Lan Phuong Boehme, DPT
• Tara Jean Boerner, LMFT
• Vanessa Bognot

• General Practice Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, 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 15, 2007; 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.