Norman Roy Zalameda Untalan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49693 Issued in CA

Practice address

730 S Western Ave Ste 202
Los Angeles, CA 90005-5901

Phone

(213) 385-3828

Fax

(213) 385-2144

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Untalan Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1881711281
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811052343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 ALTA CANYADA RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111716",
            "telephone_number": "818-952-2630",
            "fax_number": "213-385-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WESTERN AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055901",
            "telephone_number": "213-385-3828",
            "fax_number": "213-385-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTALAN",
        "first_name": "NORMAN ROY",
        "middle_name": "ZALAMEDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9241201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTADENTALHEALTHY FAMILI",
            "identifier": "B49693-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Unruh
• Unseen Faces Foundation Inc
• Stephanie Marie Unson
• Untalan Dental Corporation
• Charise Ruby Untalan, DDS
• Ansley Unterberger, MEDICAL STUDENT
• Emily Gabrielle Unzueta, MA
• Maria Del Pilar Unzueta
• Miguel Angel Unzueta, M.D.
• Kirk Uomoto, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 9, 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.