Nina Gray, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48513 Issued in CA

Legal business name

NINA GRAY, DMD, INC.

Practice address

14415 Chase St
Panorama City, CA 91402-3017

Phone

(818) 830-9050

Fax

(818) 830-9025

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nina Moghaddam Gray, DMD

Title

President

Phone

(818) 830-9050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Plus California Doing business as

Tax ID family

Dental Plus California3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nina Gray, DMD, Inc.

  • General Practice Dentistry
  • Tarzana, CA
  • NPI 1235279423
  NPD tax ID
• Nina Gray, DMD, Inc.

  • Dentist
  • North Hollywood, CA
  • NPI 1770623985
  NPD tax ID

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1982745394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023017",
            "telephone_number": "818-830-9050",
            "fax_number": "818-830-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023017",
            "telephone_number": "818-830-9050",
            "fax_number": "818-830-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA GRAY, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "MOGHADDAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-830-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL ID",
            "identifier": "G92749-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Plus California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phuong Nguyen, DO
• Randy Nguyen
• Theresa Nguyen
• Lilia De Guzman Nicolas, NP-C
• Erin Nielsen, M.S.
• Nissim Institutional Providers
• James A. Nitahara, MD
• Teresa Nolfi, MD
• Robert H. Nosaka, MD
• Nourian Dental Group, Inc.

• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.