NPIMap

Organization Active NPI

Vandana Master DDS a Professional Corporation

  • Dental Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1861687196
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
39042 Issued in CA
Legal business name
VANDANA MASTER DDS A PROFESSIONAL CORPORATION
Practice address
166 N Moorpark Rd
Suite #202
Thousand Oaks, CA 91360-4405
Phone
(805) 497-7505
Fax
(805) 497-3326
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Vandana(Vanna) Master, D.D.S.
Title
President
Phone
(805) 497-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1861687196",
    "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": {
        "organization_name": "VANDANA MASTER DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "VANDANA(VANNA)",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Sep 10, 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.