Jacob Vayner DMD a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

58805 Issued in CA

Legal business name

JACOB VAYNER DMD A PROFESSIONAL DENTAL CORPORATION

Practice address

19231 Victory Blvd Ste 216
Reseda, CA 91335-6338

Phone

(818) 344-4929

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jacob J Vayner, DMDNPI 1295825065

Title

President

Phone

(818) 344-4929

Specialties & licenses 1

Addresses

Other names 1

• Esthetic Smile Dental Doing business as

Locations

Practitioners 1

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

• Jacob J Vayner, DMD

  • General Practice Dentistry
  • Reseda, CA
  • NPI 1295825065
  NPD (past) Authorized official

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1952726499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 216",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356338",
            "telephone_number": "818-344-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 216",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356338",
            "telephone_number": "818-344-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB VAYNER DMD A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-344-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esthetic Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.