Individual provider Active NPI

Alexander Visot I, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodland Hills, CA
National Provider Identifier
1801011739
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
43877 Issued in CA
Practice address
23111 Ventura Blvd Ste 104
Woodland Hills, CA 91364-1132
Phone
(818) 225-7768
NPI assigned
Apr 16, 2007
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 43877 CA Primary

Addresses

Primary practice location

23111 Ventura Blvd Ste 104
Woodland Hills, CA 91364-1132

Mailing address

23111 Ventura Blvd Ste 104
Woodland Hills, CA 91364-1132
Phone (818) 225-7768

Other names 1

  • Mr. Alexander Visot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224001281 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 4789057654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43877CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1801011739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD STE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641132",
            "telephone_number": "818-225-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD STE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641132",
            "telephone_number": "818-225-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOT",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "43877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "VISOT",
            "prefix": "MR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.