Active NPI
John R. Dandona, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Agoura Hills, CA
National Provider Identifier
1679760730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 27419
- Practice address
- 28040 Dorothy Dr Ste 101
Agoura Hills, CA 91301-4915 - Phone
- (818) 889-9846
- Fax
- (818) 889-6279
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 27419 | CA | Primary |
Addresses
Primary practice location
28040 Dorothy Dr Ste 101
Agoura Hills, CA 91301-4915
Mailing address
28040 Dorothy Dr Ste 101
Agoura Hills, CA 91301-4915
Phone (818) 889-9846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27419 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1679760730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28040 DOROTHY DR STE 101",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014915",
"telephone_number": "818-889-9846",
"fax_number": "818-889-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28040 DOROTHY DR STE 101",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014915",
"telephone_number": "818-889-9846",
"fax_number": "818-889-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDONA",
"first_name": "JOHN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "27419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.