Organization Active NPI

Express Dental

  • Dental Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1962224279
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EXPRESS DENTAL
Practice address
4910 Van Nuys Blvd Ste 204
Sherman Oaks, CA 91403-1761
Phone
(818) 692-1111
Fax
(818) 697-0100
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tatsiana Zhamoitsina, RDHAPNPI 1497225262
Title
Secretary, Chief Financial Officer
Phone
(323) 695-2174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4910 Van Nuys Blvd Ste 204
Sherman Oaks, CA 91403-1761

Mailing address

4910 Van Nuys Blvd Ste 204
Sherman Oaks, CA 91403-1761
Phone (818) 692-1111

Other names 1

  • Express Dental Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1962224279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031761",
            "telephone_number": "818-692-1111",
            "fax_number": "818-697-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031761",
            "telephone_number": "818-692-1111",
            "fax_number": "818-697-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ZHAMOITSINA",
        "authorized_official_first_name": "TATSIANA",
        "authorized_official_title_or_position": "SECRETARY, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "323-695-2174",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Express Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.