Organization Active NPI

Misner DMD Dental Corp

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1740426162
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53702 Issued in CA
Legal business name
MISNER DMD DENTAL CORP
Doing business as
Kids Dental Place
Kids and Family Dental Place
Practice address
14422 Victory Blvd
Van Nuys, CA 91401-1480
Phone
(818) 285-0767
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dr. Rebecca Misner, DMD
Title
President
Phone
(719) 323-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53702 CA Primary

Addresses

Primary practice location

14422 Victory Blvd
Van Nuys, CA 91401-1480

Mailing address

2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (818) 285-0767

Other names 3

  • Kids Dental Place Doing business as
  • Kids and Family Dental Place Doing business as
  • Bayramyan DDS Dental Corp Former legal business name

National Provider Directory

National Provider Directory

Locations

14422 Victory Blvd
Van Nuys, CA 91401
Phone (501) 554-1840

Practitioners & affiliated clinicians

Practitioners 2

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1740426162",
    "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",
            "telephone_number": "818-285-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011480",
            "telephone_number": "818-285-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISNER DMD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "719-323-2362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids and Family Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids and Family Dental Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayramyan DDS Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 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.