DRS Gelman Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49526 Issued in CA

Legal business name

DRS GELMAN DENTAL GROUP INC

Practice address

5554 Reseda Blvd
Suite 101
Tarzana, CA 91356-2200

Phone

(818) 345-2777

Fax

(818) 345-2778

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michal Gelman, DDS

Title

President

Phone

(818) 345-2777

Specialties & licenses 1

Addresses

Other names 1

• Blue & White Dental Other name

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1740460674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562200",
            "telephone_number": "818-345-2777",
            "fax_number": "818-345-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562200",
            "telephone_number": "818-345-2777",
            "fax_number": "818-345-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GELMAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-345-2777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue & White Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.