Daniel E Niemann, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

62203 Issued in CA

Practice address

1370 Foothill Blvd Ste 200
La Canada, CA 91011-2117

Phone

(818) 952-8183

NPI assigned

Aug 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel E Niemann DDS Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • South Pasadena, CA
  • NPI 1033696406
  NPD (past) Authorized official
• Lytle, Tate & Stamper, a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • La Canada, CA
  • NPI 1013126648
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1609200492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD STE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112117",
            "telephone_number": "818-952-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD STE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112117",
            "telephone_number": "818-952-8183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Huntington Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910304900",
            "country_code": "US",
            "telephone_number": "626-441-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "62203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley N. Nakaki, P.T.
• Veronica Bongil Namgung, L. AC.
• Kathryn Nathan, DPT
• New Age Community Based Adult Services Inc.
• Tracy Uyentrang Nguyen-Oghalai, MD
• Jerick Nomura, PT, DPT
• Nune Grigorian DDS., Inc.
• Ohanian & Oganian Dental Corp
• Optimum Medical Group North
• Pacific Clinics

• Oral & Maxillofacial Surgery (D.M.D.) in La Canada, CA
• Providers in La Canada, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.