Organization Active NPI

Palmdental

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1932324399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALMDENTAL
Practice address
411 E Palm Ave
Burbank, CA 91501-2010
Phone
(818) 846-3738
Fax
(818) 846-3738
NPI assigned
Apr 13, 2007
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
Ms. Maryam Ramezani
Title
Manager
Phone
(818) 846-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

411 E Palm Ave
Burbank, CA 91501-2010

Mailing address

411 E Palm Ave
Burbank, CA 91501-2010
Phone (818) 846-3738

National Provider Directory

National Provider Directory

Locations

411 E Palm Ave
Burbank, CA 91501
Phone (818) 640-4278

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932324399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E PALM AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012010",
            "telephone_number": "818-846-3738",
            "fax_number": "818-846-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E PALM AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012010",
            "telephone_number": "818-846-3738",
            "fax_number": "818-846-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMEZANI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-846-7008",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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.