NPIMap

Organization Active NPI

Rubtsov D.D.S., Inc.

  • Dental Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1891945317
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54304 Issued in CA
Legal business name
RUBTSOV D.D.S., INC.
Practice address
12450 Burbank Blvd
North Hollywood, CA 91607-1637
Phone
(818) 763-0777
Fax
(818) 763-0453
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Valeriy Rubtsov
Title
President
Phone
(818) 763-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54304 CA Primary

Addresses

Primary practice location

12450 Burbank Blvd
North Hollywood, CA 91607-1637

Mailing address

12450 Burbank Blvd
'L'
North Hollywood, CA 91607-1637
Phone (818) 763-0777

National Provider Directory

National Provider Directory
Tax ID family
Rubtsov DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12450 Burbank Blvd
North Hollywood, CA 91607
Phone (818) 763-0777

12450 Burbank Blvd
Ste L
North Hollywood, CA 91607

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1891945317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 BURBANK BLVD",
            "address_2": "'L'",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071637",
            "telephone_number": "818-763-0777",
            "fax_number": "818-763-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 BURBANK BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071637",
            "telephone_number": "818-763-0777",
            "fax_number": "818-763-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBTSOV D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "RUBTSOV",
        "authorized_official_first_name": "VALERIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-763-0777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.