NPIMap

Organization Active NPI

Roman Pidkova D.D.S., Apc

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1750593976
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46126 Issued in CA
Legal business name
ROMAN PIDKOVA D.D.S., APC
Practice address
7257 Vassar Ave Ste 100
Canoga Park, CA 91303-4410
Phone
(818) 347-0340
Fax
(818) 347-1606
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Andrian Krugliy
Title
Office Manager
Phone
(818) 347-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46126 CA Primary

Addresses

Primary practice location

7257 Vassar Ave Ste 100
Canoga Park, CA 91303-4410

Mailing address

7257 Vassar Ave Ste 100
Canoga Park, CA 91303-4410
Phone (818) 347-0340

National Provider Directory

National Provider Directory

Locations

7257 Vassar Ave
Ste 100
Canoga Park, CA 91303
Phone (818) 347-0340

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1750593976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 VASSAR AVE STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034410",
            "telephone_number": "818-347-0340",
            "fax_number": "818-347-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 VASSAR AVE STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034410",
            "telephone_number": "818-347-0340",
            "fax_number": "818-347-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN PIDKOVA D.D.S., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "KRUGLIY",
        "authorized_official_first_name": "ANDRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-347-0340"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.