Active NPI
Mishra Dental Corporation
Doing business as Sequoia Dentistry
- General Practice Dentistry
- Simi Valley, CA
National Provider Identifier
1891441317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MISHRA DENTAL CORPORATION
- Doing business as
- Sequoia Dentistry
- Practice address
- 1960 Sequoia Ave Ste 1
Simi Valley, CA 93063-3176 - Phone
- (805) 584-3999
- NPI assigned
- Feb 23, 2022
- 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
- Vikram Mishra, DDS
- Title
- Owner / Dentist
- Phone
- (818) 709-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1960 Sequoia Ave Ste 1
Simi Valley, CA 93063-3176
Mailing address
1960 Sequoia Ave Ste 1
Simi Valley, CA 93063-3176
Other names 1
- Sequoia Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1891441317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 SEQUOIA AVE STE 1",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 SEQUOIA AVE STE 1",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633176",
"telephone_number": "805-584-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISHRA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "MISHRA",
"authorized_official_first_name": "VIKRAM",
"authorized_official_title_or_position": "OWNER / DENTIST",
"authorized_official_telephone_number": "818-709-1200",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sequoia Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.