Individual provider Active NPI

Nina Sonin, DDS

  • General Practice Dentistry
  • La Crescenta, CA
National Provider Identifier
1710198130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43495 Issued in CA
Practice address
3043 Foothill Blvd Ste 5
La Crescenta, CA 91214-2773
Phone
(818) 542-3039
Fax
(818) 542-3097
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43495 CA Primary

Addresses

Primary practice location

3043 Foothill Blvd Ste 5
La Crescenta, CA 91214-2773

Mailing address

3043 Foothill Blvd Ste 5
La Crescenta, CA 91214-2773
Phone (818) 542-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510001776 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274822523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710198130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 FOOTHILL BLVD STE 5",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142773",
            "telephone_number": "818-542-3039",
            "fax_number": "818-542-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 FOOTHILL BLVD STE 5",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142773",
            "telephone_number": "818-542-3039",
            "fax_number": "818-542-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONIN",
        "first_name": "NINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.