Active NPI
Alexander Kalmanovich DDS, Inc.
- General Practice Dentistry
- Laguna Beach, CA
National Provider Identifier
1992538003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ALEXANDER KALMANOVICH DDS, INC.
- Practice address
- 380 Glenneyre St Ste E
Laguna Beach, CA 92651-2303 - Phone
- (949) 547-5992
- NPI assigned
- Aug 23, 2024
- 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
- Bella Zaritsky
- Title
- Director
- Phone
- (480) 590-3396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
380 Glenneyre St Ste E
Laguna Beach, CA 92651-2303
Mailing address
380 Glenneyre St Ste E
Laguna Beach, CA 92651-2303
Phone (949) 547-5992
Other names 1
- Laguna Family Dental
National Provider Directory
National Provider DirectoryLocations
380 Glenneyre St
Ste E
Laguna Beach, CA 92651
Phone (949) 494-7522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1992538003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 GLENNEYRE ST STE E",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512303",
"telephone_number": "949-547-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 GLENNEYRE ST STE E",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512303",
"telephone_number": "949-547-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER KALMANOVICH DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "ZARITSKY",
"authorized_official_first_name": "BELLA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-590-3396"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laguna Family Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laguna Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.