Misner DMD Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51044 Issued in CA

Legal business name

MISNER DMD PROFESSIONAL DENTAL CORP

Practice address

4221 E Cesar E Chavez Ave
Los Angeles, CA 90063-3417

Phone

(323) 332-0201

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca MisnerNPI 1851476089

Title

Owner

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other names 2

• Kids Dental Place Doing business as
• J. Bayramyan DDS Professional Dental Corp. Former legal business name

Locations

Practitioners 1

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

• Rebecca Suzanne Misner, DMD

  • Dentist
  • Aurora, CO
  • NPI 1851476089
  NPD (past) Authorized official

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1669849360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633417",
            "telephone_number": "323-332-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISNER DMD PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MISNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-323-2362",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J. Bayramyan DDS Professional Dental Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mishkan Senior Care Corp.
• Yafa Mishkanian, M.D.
• Andela Misic
• Mary Grace Miskelly
• Kimberly Mislick, M.D.
• Misner Professional Dental Corp
• Miso Oriental Clinic
• Janelle May Razon Miso, PA-C
• Colleen Erin Mispagel
• Monali Misra, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.