Organization Active NPI

Stephen D. Willens DDS, Inc.

  • Pediatric Dentistry
  • Burbank, CA
National Provider Identifier
1881718740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
26726 Issued in CA
Legal business name
STEPHEN D. WILLENS DDS, INC.
Practice address
3923 W Burbank Blvd
Burbank, CA 91505-2118
Phone
(818) 846-1733
Fax
(818) 846-3230
NPI assigned
Mar 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen D. Willens, D.D.S.
Title
President
Phone
(818) 846-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 26726 CA Primary

Addresses

Primary practice location

3923 W Burbank Blvd
Burbank, CA 91505-2118

Mailing address

3923 W Burbank Blvd
Burbank, CA 91505-2118
Phone (818) 846-1733

National Provider Directory

National Provider Directory

Locations

3923 W Burbank Blvd
Burbank, CA 91505
Phone (818) 846-1733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881718740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052118",
            "telephone_number": "818-846-1733",
            "fax_number": "818-846-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052118",
            "telephone_number": "818-846-1733",
            "fax_number": "818-846-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. WILLENS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLENS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-846-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "26726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.