Organization Active NPI

Daniel E. Cronk DDS Inc.

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1851412688
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA39781 Issued in CA
Legal business name
DANIEL E. CRONK DDS INC.
Practice address
23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-1103
Phone
(818) 224-2001
Fax
(818) 224-4622
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Daniel Everett Cronk, DDSNPI 1275935595
Title
Owner
Phone
(818) 224-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA39781 CA Primary

Addresses

Primary practice location

23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-1103

Mailing address

23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364
Phone (818) 224-2001

Other names 1

  • Aesthetic Dentistry Associates Doing business as

National Provider Directory

National Provider Directory

Locations

23111 Ventura Blvd
Ste 203
Woodland Hls, CA 91364
Phone (818) 223-8702

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1851412688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-224-2001",
            "fax_number": "818-224-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641103",
            "telephone_number": "818-224-2001",
            "fax_number": "818-224-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. CRONK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-224-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA39781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dentistry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.