Mid Valley Dental Care-Northridge

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MID VALLEY DENTAL CARE-NORTHRIDGE

Practice address

19331 Business Center Drive
Suite 101
Northridge, CA 91324

Phone

(818) 886-3500

Fax

(818) 886-1733

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terence Kien-Wa Lau, D.D.SNPI 1811187784

Title

Owner / Partner

Phone

(818) 886-3500

Specialties & licenses 2

Addresses

Other names 1

• MID-VALLEY DENTAL CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terence Kien-Wa Lau, DDS

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1811187784
  Medicare reassignment NPD Authorized official
• Casey Kien Chung Lau, DDS

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1891985917
  Medicare reassignment NPD
• Kayla Gale Lau, DDS

  • Dentist
  • Northridge, CA
  • NPI 1891366357
  Medicare reassignment NPD
• Thomas Gene Lagatta, D.D.S.

  • Dentist
  • Northridge, CA
  • NPI 1831400670
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1942490602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19331 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-886-3500",
            "fax_number": "818-886-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19331 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-886-3500",
            "fax_number": "818-886-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY DENTAL CARE-NORTHRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "KIEN-WA",
        "authorized_official_title_or_position": "OWNER / PARTNER",
        "authorized_official_telephone_number": "818-886-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID-VALLEY DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Shabtai, M.D., Inc.
• Michael V. Terzian, O.D., a Professional Corporation
• Michael W. Barsom, MD, AMC
• Michel Elyson DDS & Ramin Assili DDS,a Professional Corporation
• Michelle Homyak MD PC
• Midas Touch Home Health Services, Inc.
• Midcity Home Health Agency
• Midnight Prestige
• Jennifer Mier
• Diana Mikaelian, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Northridge, CA
• Providers in Northridge, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.