Organization Active NPI

Michelle P H to DDS a Professional Corporation

  • Pediatric Dentistry
  • North Hollywood, CA
National Provider Identifier
1619506292
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MICHELLE P H TO DDS A PROFESSIONAL CORPORATION
Practice address
12128 Vanowen St
North Hollywood, CA 91605-5651
Phone
(818) 647-1188
NPI assigned
Apr 6, 2020
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Michelle To, DDSNPI 1013119718
Title
Dentist
Phone
(818) 789-3844

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12128 Vanowen St
North Hollywood, CA 91605-5651

Mailing address

12128 Vanowen St
North Hollywood, CA 91605-5651
Phone (818) 647-1188

National Provider Directory

National Provider Directory

Locations

12128 Vanowen St
North Hollywood, CA 91605
Phone (818) 647-1188

13320 Riverside Dr
Ste 202
Sherman Oaks, CA 91423
Phone (310) 367-8877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1619506292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055651",
            "telephone_number": "818-647-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12128 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055651",
            "telephone_number": "818-647-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE P H TO DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-789-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.