Active NPI
Sally Kashani DDS, Dental Corporation
- Health Maintenance Organization
- Toluca Lake, CA
National Provider Identifier
1659764991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 57454
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1881698132
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.