Organization Active NPI

Sally Kashani DDS, Dental Corporation

  • Health Maintenance Organization
  • Toluca Lake, CA
National Provider Identifier
1659764991
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
57454 Issued in CA
Legal business name
SALLY KASHANI DDS, DENTAL CORPORATION
Doing business as
Toluca Lake Dental
Practice address
10719 Riverside Dr
Toluca Lake, CA 91602-2312
Phone
(818) 508-7272
Fax
(818) 508-7444
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Mrs. Sally Kashani, DDS
Title
Owner
Phone
(818) 508-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 57454 CA Primary

Addresses

Primary practice location

10719 Riverside Dr
Toluca Lake, CA 91602-2312

Mailing address

10719 Riverside Dr
Toluca Lake, CA 91602-2312
Phone (818) 508-7272

Other names 1

  • Toluca Lake Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10719 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 508-7272

Practitioners & affiliated clinicians

Practitioners 1

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1659764991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10719 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022312",
            "telephone_number": "818-508-7272",
            "fax_number": "818-508-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022312",
            "telephone_number": "818-508-7272",
            "fax_number": "818-508-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY KASHANI DDS, DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-508-7272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "57454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toluca Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.