Active NPI
Edward D Asdel, DDS
- Endodontics
- Ventura, CA
National Provider Identifier
1750585774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 46019
- Practice address
- 3390 Loma Vista Rd Ste B
Ventura, CA 93003-3047 - Phone
- (805) 654-0239
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 46019 | CA | Primary |
Addresses
Primary practice location
3390 Loma Vista Rd Ste B
Ventura, CA 93003-3047
Mailing address
3390 Loma Vista Rd Ste B
Ventura, CA 93003-3047
Phone (805) 654-0239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46019 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callaway-Nelson Flamingo Smiles, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1750585774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 LOMA VISTA RD STE B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033047",
"telephone_number": "805-654-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 LOMA VISTA RD STE B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033047",
"telephone_number": "805-654-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASDEL",
"first_name": "EDWARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "46019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Raffi Asadorian, DDS
- Asano & Abbink Dental Corporation (Ventura Orthodontic Group)
- Daniel Blaine Asay, M.D.
- Nelly Ascencio
- Ascend Individual and Family Therapy Services Inc.
- Ashwood Dental Office of Victor Sargissian DDC Inc. (Ashwood Dental)
- Ashwood Physical Therapy, Inc.
- Richa Asija, DO
- Tannaz Askari, DDS
- Jaime Florendo Asperin Jr., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.