Individual provider Active NPI

Chelsea Misha Director, DMD

  • Dentist
  • Pasadena, CA
National Provider Identifier
1942936877
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107589 Issued in CA
Practice address
370 S Oakland Ave
Pasadena, CA 91101-3335
Phone
(310) 266-1542
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107589 CA Primary

Addresses

Primary practice location

370 S Oakland Ave
Pasadena, CA 91101-3335

Mailing address

370 S Oakland Ave
Pasadena, CA 91101-3335
Phone (310) 266-1542

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

LicenseStateTypeSpecialty
107589CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coppelson Director Dental Partnership Dentist CurrentSince Aug 6, 2023 Accepting new patients

Locations

9055 Woodman Ave
Arleta, CA 91331
Phone (310) 266-1542

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1942936877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013335",
            "telephone_number": "310-266-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013335",
            "telephone_number": "310-266-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRECTOR",
        "first_name": "CHELSEA",
        "middle_name": "MISHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.