Organization Active NPI

Alejandra Taveras, DDS, P.C.

Doing business as Angel Smile Dental Groups

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1861798639
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58328 Issued in CA
Legal business name
ALEJANDRA TAVERAS, DDS, P.C.
Doing business as
Angel Smile Dental Groups
Practice address
7300 Topanga Canyon Blvd
Suite #6
Canoga Park, CA 91303-3333
Phone
(818) 884-4422
Fax
(818) 884-4773
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Alejandra Taveras
Title
Dentist
Phone
(818) 884-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58328 CA Primary

Addresses

Primary practice location

7300 Topanga Canyon Blvd
Suite #6
Canoga Park, CA 91303-3333

Mailing address

7300 Topanga Canyon Blvd
Suite #6
Canoga Park, CA 91303-3333
Phone (818) 884-4422

Other names 1

  • Angel Smile Dental Groups Doing business as

National Provider Directory

National Provider Directory

Locations

7300 Topanga Canyon Blvd
Ste 6
Canoga Park, CA 91303
Phone (747) 444-9090

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1861798639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 TOPANGA CANYON BLVD",
            "address_2": "SUITE #6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033333",
            "telephone_number": "818-884-4422",
            "fax_number": "818-884-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 TOPANGA CANYON BLVD",
            "address_2": "SUITE #6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033333",
            "telephone_number": "818-884-4422",
            "fax_number": "818-884-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRA TAVERAS, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-884-4422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Smile Dental Groups",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.