Individual provider Active NPI

Ecaterina Anetta Krausz, D.D.S

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1639456544
Registry record updated Nov 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41936 Issued in CA
Practice address
16542 Ventura Blvd Ste 505
Encino, CA 91436-4576
Phone
(818) 907-6736
NPI assigned
Nov 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41936 CA Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 505
Encino, CA 91436-4576

Mailing address

6106 Teesdale Ave
Valley Glen, CA 91606-4425
Phone (818) 907-6736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41936CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1639456544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 TEESDALE AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "916064425",
            "telephone_number": "818-907-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 505",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364576",
            "telephone_number": "818-907-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSZ",
        "first_name": "ECATERINA",
        "middle_name": "ANETTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; 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.