Active NPI
Mihai Nicolae
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1689869448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42688
- Practice address
- 7335 Van Nuys Blvd Ste 104
Van Nuys, CA 91405-1951 - Phone
- (818) 787-6787
- Fax
- (818) 787-2119
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42688 | CA | Primary |
Addresses
Primary practice location
7335 Van Nuys Blvd Ste 104
Van Nuys, CA 91405-1951
Mailing address
7335 Van Nuys Blvd Ste 104
Van Nuys, CA 91405-1951
Phone (818) 787-6787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B42688-01 | Medicaid | CA |
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 |
|---|---|---|---|
| 42688 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mihai Nicolae, DDS, Inc. | General Practice | Past | Accepting new patients |
| Dr. Fadaei Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Van Nuys, CA
- NPI 1063634723
-
- Dentist
- Van Nuys, CA
- NPI 1801271374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1689869448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7335 VAN NUYS BLVD STE 104",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051951",
"telephone_number": "818-787-6787",
"fax_number": "818-787-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7335 VAN NUYS BLVD STE 104",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051951",
"telephone_number": "818-787-6787",
"fax_number": "818-787-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAE",
"first_name": "MIHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B42688-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.