Dr. Kolodner Dental Group, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. KOLODNER DENTAL GROUP, INC.

Practice address

12215 Ventura Blvd
Suite 115
Studio City, CA 91604-2533

Phone

(818) 761-9526

Fax

(818) 755-6757

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tatyana Kolodner, DDSNPI 1982729778

Title

Secretary

Phone

(818) 761-9526

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tatyana Kolodner, DDS

  • Dentist
  • Studio City, CA
  • NPI 1982729778
  NPD (past) Authorized official
• Izabella Kolodner, DDS

  • General Practice Dentistry
  • Studio City, CA
  • NPI 1275559429
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1932541059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 VENTURA BLVD",
            "address_2": "SUITE 115",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042533",
            "telephone_number": "818-761-9526",
            "fax_number": "818-755-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 VENTURA BLVD",
            "address_2": "SUITE 115",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042533",
            "telephone_number": "818-761-9526",
            "fax_number": "818-755-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KOLODNER DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "KOLODNER",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-761-9526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Studio City, CA
• Providers in Studio City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.