Organization Active NPI

Edward D Cligher DDS a Proffesional Corp

  • Dental Clinic/Center
  • Encino, CA
National Provider Identifier
1740682285
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
42290 Issued in CA
Legal business name
EDWARD D CLIGHER DDS A PROFFESIONAL CORP
Doing business as
Encino Dental Center
Practice address
17815 Ventura Blvd
Suite 101
Encino, CA 91316-3610
Phone
(818) 708-1200
Fax
(818) 708-0046
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Edward Dror Cligher, DDSNPI 1598884876
Title
Dentist
Phone
(818) 708-1200

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
Dental Clinic/Center 261QD0000X 42290 CA Primary

Addresses

Primary practice location

17815 Ventura Blvd
Suite 101
Encino, CA 91316-3610

Mailing address

17815 Ventura Blvd
Suite 101
Encino, CA 91316-3610
Phone (818) 708-1200

Other names 1

  • Encino Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

17815 Ventura Blvd
Ste 101
Encino, CA 91316
Phone (818) 708-1200

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1740682285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163610",
            "telephone_number": "818-708-1200",
            "fax_number": "818-708-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163610",
            "telephone_number": "818-708-1200",
            "fax_number": "818-708-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D CLIGHER DDS A PROFFESIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CLIGHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DROR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-708-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.