Organization Active NPI

Cyrus B. Callos DDS Inc.

  • General Practice Dentistry
  • Panorama City, CA
National Provider Identifier
1972626026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49286 Issued in CA
Legal business name
CYRUS B. CALLOS DDS INC.
Practice address
9501 Van Nuys Blvd
Suite 115
Panorama City, CA 91402-1350
Phone
(818) 893-1782
Fax
(818) 893-2778
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cyrus Bagsik Callos, D.D.S.NPI 1427456730
Title
Dentist
Phone
(818) 893-1782

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49286 CA Primary

Addresses

Primary practice location

9501 Van Nuys Blvd
Suite 115
Panorama City, CA 91402-1350

Mailing address

9501 Van Nuys Blvd
Panorama City, CA 91402-1350
Phone (818) 893-1782

Other names 1

  • Brighter Smile Dental Other name

National Provider Directory

National Provider Directory

Locations

9501 Van Nuys Blvd
Panorama City, CA 91402

9501 Van Nuys Blvd
Ste 115
Panorama City, CA 91402
Phone (818) 893-1782

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972626026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021350",
            "telephone_number": "818-893-1782",
            "fax_number": "818-893-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 VAN NUYS BLVD",
            "address_2": "SUITE 115",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021350",
            "telephone_number": "818-893-1782",
            "fax_number": "818-893-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS B. CALLOS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLOS",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "BAGSIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-893-1782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Smile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.