Active NPI
Ariella Glodowski, DDS
- Endodontics
- Encino, CA
National Provider Identifier
1821616988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS108831
- Practice address
- 5363 Balboa Blvd
Encino, CA 91316-2805 - Phone
- (747) 208-8668
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- 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 | DDS108831 | CA | Primary |
Addresses
Primary practice location
5363 Balboa Blvd
Encino, CA 91316-2805
Mailing address
PO Box 540
Moorpark, CA 93020-0540
Phone (805) 210-0450
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131001265 | CA | Order and Referring Only - Dentist | 5890148415 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS108831 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1821616988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930200540",
"telephone_number": "805-210-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "747-208-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLODOWSKI",
"first_name": "ARIELLA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2023-10-17",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS108831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Glenna Tolbert, MD, a Medical Corporation (Center for Rehabilitation & Wellness)
- Craig Allen Glick, DDS
- David Georg Glick, M.D.
- Linda Susan Glick, M.A.
- Susan Glickman
- Rhonda Glowalla, LICENSED ED. PSYCHOL
- Naomi Ruth Godfrey, LMFT
- Goel Soheil DDS a Professional Corp.
- Arya Sean Goel, DDS
- Soheil Goel, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.