NPIMap

Organization Active NPI

Rosemarie Acevedo-Walker D.D.S Inc

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1710909684
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43507 Issued in CA
Legal business name
ROSEMARIE ACEVEDO-WALKER D.D.S INC
Practice address
11559 Sherman Way # 100
North Hollywood, CA 91605-5829
Phone
(818) 503-0040
Fax
(818) 503-0090
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Rosemarie Acevedo, D.D.SNPI 1811399306
Title
President
Phone
(818) 503-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43507 CA Primary

Addresses

Primary practice location

11559 Sherman Way # 100
North Hollywood, CA 91605-5829

Mailing address

11559 Sherman Way # 100
North Hollywood, CA 91605-5829
Phone (818) 503-0040

Other identifiers 1

IdentifierTypeStateIssuer
B4350701OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

11559 Sherman Way
Unit 100
North Hollywood, CA 91605
Phone (818) 503-0040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1710909684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 SHERMAN WAY # 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055829",
            "telephone_number": "818-503-0040",
            "fax_number": "818-503-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 SHERMAN WAY # 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055829",
            "telephone_number": "818-503-0040",
            "fax_number": "818-503-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE ACEVEDO-WALKER D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-503-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B4350701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.