Individual provider Active NPI

Vandana K Master, D.D.S.

  • General Practice Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1861536328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39042 Issued in CA
Practice address
166 N Moorpark Rd
Suite 202
Thousand Oaks, CA 91360-4405
Phone
(805) 497-7505
Fax
(805) 497-3326
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39042 CA Primary

Addresses

Primary practice location

166 N Moorpark Rd
Suite 202
Thousand Oaks, CA 91360-4405

Mailing address

166 N Moorpark Rd
Suite 202
Thousand Oaks, CA 91360-4405
Phone (805) 497-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39042CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Jun an ,D.D.S. Inc. General Practice Past Accepting new patients
Vandana Master DDS a Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861536328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N MOORPARK RD",
            "address_2": "SUITE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604405",
            "telephone_number": "805-497-7505",
            "fax_number": "805-497-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 N MOORPARK RD",
            "address_2": "SUITE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604405",
            "telephone_number": "805-497-7505",
            "fax_number": "805-497-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "VANDANA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.