NPIMap

Organization Active NPI

Encino Dental Group Inc a Professional Dental Corp

  • Dental Clinic/Center
  • Encino, CA
National Provider Identifier
1891333118
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENCINO DENTAL GROUP INC A PROFESSIONAL DENTAL CORP
Practice address
17777 Ventura Blvd Ste 210
Encino, CA 91316-3748
Phone
(818) 433-1502
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Dr. Josef Mamaliger
Title
Owner
Phone
(818) 654-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17777 Ventura Blvd Ste 210
Encino, CA 91316-3748

Mailing address

17777 Ventura Blvd Ste 210
Encino, CA 91316-3748
Phone (818) 433-1502

National Provider Directory

National Provider Directory

Locations

17777 Ventura Blvd
Ste 210
Encino, CA 91316
Phone (818) 335-0654

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1891333118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163748",
            "telephone_number": "818-433-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163748",
            "telephone_number": "818-433-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO DENTAL GROUP INC A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "MAMALIGER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-654-8300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.