Organization Active NPI

Alexander Kalmanovich DDS, Inc.

  • General Practice Dentistry
  • Laguna Beach, CA
National Provider Identifier
1992538003
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 30, 2024

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.