NPIMap

Organization Active NPI

Angeles Dental Corporation

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1649339714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G92074-01 Issued in CA
Legal business name
ANGELES DENTAL CORPORATION
Doing business as
Family Dental Group at Lankershim
Practice address
8025 Webb Ave
Ste. B
North Hollywood, CA 91605-1505
Phone
(818) 767-4215
Fax
(818) 767-4483
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Godofredo Castelo Angeles Jr., DDSNPI 1215096391
Title
President
Phone
(818) 767-4215

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X G92074-01 CA Primary

Addresses

Primary practice location

8025 Webb Ave
Ste. B
North Hollywood, CA 91605-1505

Mailing address

8025 Webb Ave
Ste. B
North Hollywood, CA 91605-1505
Phone (818) 767-4215

Other names 1

  • Family Dental Group at Lankershim Doing business as

National Provider Directory

National Provider Directory

Locations

8025 Webb Ave
#B
North Hollywood, CA 91605
Phone (818) 767-4215

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649339714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 WEBB AVE",
            "address_2": "STE. B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051505",
            "telephone_number": "818-767-4215",
            "fax_number": "818-767-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 WEBB AVE",
            "address_2": "STE. B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051505",
            "telephone_number": "818-767-4215",
            "fax_number": "818-767-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "GODOFREDO",
        "authorized_official_middle_name": "CASTELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-767-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "G92074-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Group at Lankershim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.