Active NPI
Alejandra Taveras, DDS, P.C.
Doing business as Angel Smile Dental Groups
- General Practice Dentistry
- Canoga Park, CA
National Provider Identifier
1861798639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58328
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.