NPIMap

Organization Active NPI

Kingdental

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1649305624
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36463 Issued in CA
Legal business name
KINGDENTAL
Practice address
7349 Topanga Canyon Blvd
Canoga Park, CA 91303-1244
Phone
(818) 348-1506
Fax
(818) 348-4883
NPI assigned
Feb 22, 2007
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Dr. Gilbert L King, DDSNPI 1467548180
Title
Ceo
Phone
(818) 348-1506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36463 CA Primary

Addresses

Primary practice location

7349 Topanga Canyon Blvd
Canoga Park, CA 91303-1244

Mailing address

646 N Larchmont Blvd
Los Angeles, CA 90004-1308
Phone (323) 464-8677

Other identifiers 3

IdentifierTypeStateIssuer
36463OtherCALICENCE NUMBER
G3983-02OtherCADENTI-CAL
36423OtherCALICENCE #

National Provider Directory

National Provider Directory
Tax ID family
Kingdental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7349 Topanga Canyon Blvd
Canoga Park, CA 91303
Phone (818) 348-1506

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1649305624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041308",
            "telephone_number": "323-464-8677",
            "fax_number": "323-463-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 TOPANGA CANYON BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "818-348-1506",
            "fax_number": "818-348-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-348-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "36463",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G3983-02",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE #",
            "identifier": "36423",
            "state": "CA"
        }
    ],
    "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 Sep 20, 2016; 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.