Active NPI
Isabelle Kaldawi
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1932503083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 63725
- Practice address
- 14422 Victory Blvd
Van Nuys, CA 91401-1439 - Phone
- (818) 285-0767
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 63725 | CA | Primary |
Addresses
Primary practice location
14422 Victory Blvd
Van Nuys, CA 91401-1439
Mailing address
15932 Valerio St
Van Nuys, CA 91406-3034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63725 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Misner DMD Dental Corp | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1932503083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15932 VALERIO ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14422 VICTORY BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011439",
"telephone_number": "818-285-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALDAWI",
"first_name": "ISABELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
- Rebecca Margaret Kakuska
- Tatiana Kalachnikovareed
- Solita Kalaw, NP
- Arsine Kalaydjian
- Kirsten Ashley Kaldas, D.O.
- Nika Kalili
- Kambiz Kosari MD Inc (Surgical Specialists and Associates)
- Taylor Kamemoto
- Kamyar Amini MD a Medical Corporation (Specialty Care Associates)
- Kan-Di-Ki LLC (Diagnostic Laboratories)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.