Active NPI
Jeri B Munn DDS Apdc
- General Practice Dentistry
- Canoga Park, CA
National Provider Identifier
1972621209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JERI B MUNN DDS APDC
- Practice address
- 22030 Sherman Way
#205
Canoga Park, CA 91303-1855 - Phone
- (818) 716-5011
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeri B Munn, DDS
- Title
- President
- Phone
- (818) 716-5011
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | CA | Primary |
Addresses
Primary practice location
22030 Sherman Way
#205
Canoga Park, CA 91303-1855
Mailing address
22030 Sherman Way
#205
Canoga Park, CA 91303-1855
Phone (818) 716-5011
National Provider Directory
National Provider DirectoryLocations
22030 Sherman Way
Ste 205
Canoga Park, CA 91303
Phone (818) 716-5011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Canoga Park, CA
- NPI 1407977465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1972621209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22030 SHERMAN WAY",
"address_2": "#205",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031855",
"telephone_number": "818-716-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22030 SHERMAN WAY",
"address_2": "#205",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031855",
"telephone_number": "818-716-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERI B MUNN DDS APDC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "MUNN",
"authorized_official_first_name": "JERI",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-716-5011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.